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<sup>7</sup> Dx: URI w/ 1) Persistent nonimproving s/sx ≥10 days; or 2) Severe sx: Temp ≥39°C and purulent nasal d/c or face pain for 3-4 days at onset; or 3) Worsening s/sx including new fever/HA/nasal d/c increase following typical 5-6 days URI that initially improved (double-sickening). [S/L-M] <br><br><sup>8</sup> If no improvement after 2nd abx course, or if seriously ill, refer to specialist, consider cx.
<br><br><sup>9</sup> Not recommended for tx: oral cephalosporins as empiric mono-tx [W/M], macrolides, TMP/SMX. [S/M]
<br><br><sup>9</sup> Not recommended for tx: oral cephalosporins as empiric mono-tx [W/M], macrolides, TMP/SMX. [S/M]
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