Target Audience:

  • All Physicians, RN/NPs, PAs, Residents and Pharmacists in the following departments:
  • Adult and Family Medicine
  • ED/MIC
  • HBS
  • Geriatrics/Senior Health MDs
  • Pediatrics
  • Specialties: Head and Neck, Allergy/Asthma/Immunology


Microsoft Teams: Click "Take Course" and the link will be available in the course instructions. 


  • Ailin J. Kim, PharmD, PGY1 Pharmacy Resident, Kaiser Permanente, San Jose 
  • Arash Shahangian, MD, PhD, Rhinology and Skullbase Surgery, Head and Neck Surgery, Kaiser Permanente, San Jose
  • Charulata X. Ramaprasad, MD, MPH, Chair of Infectious Diseases  


  • Tu Tran, PharmD, BCPS; CME Committee Member, CME Planner (P&T), Drug Education Coordinator; Kaiser Permanente, San Jose
  • Lily Nguyen, PharmD, BCPS; Clinical Operations Manager; Kaiser Permanente, San Jose
  • Erica Chen, PharmD, BCPS, CDE, PGY1 Residency Program Coordinator, Kaiser Permanente, San Jose 
  • Patrice Lucas, PharmD, BCPS, Drug Education Coordinator, Kaiser Permanente, San Jose 
  • Tobi Knepler-Foss, Drug Education Coordinator, Kaiser Permanente, San Jose 
  • Sangeeta Joshi, MD, Adult and Family Medicine, Pharmacy Advisory Committee Chair, Kaiser Permanente, San Jose 

Session Objectives:

1. Appropriately diagnose and manage sinusitis, with an emphasis on patient education and avoidance of unnecessary antibiotics.
2. Locate and navigate Kaiser Permanente resources to guide treatment options for patients with sinusitis, including when to consult with a specialist.

Based on CDC health statistics, 1 in 9 adults are affected by sinusitis every year, leading to almost 29 million annual diagnoses. According to a study recently published in JAMA, national ambulatory care data shows that sinusitis is the single diagnosis associated with the most antibiotics prescriptions per 1000 people. And among those prescribed, more than 90% of them were found to be inappropriate based on clinical guidelines. Despite efforts around antibiotic stewardship, overuse still contributes to high number of adverse events, antibiotic-resistant infections and deaths in the US.

At Kaiser Permanente (KP) San Jose, nearly 80% of patients over the past year received an antibiotic for acute sinusitis, an illness which is typically viral and resolves with symptomatic (conservative) management. It can be challenging to differentiate between acute viral versus bacterial sinusitis but, in either case, many patients have self-limited disease and improve without antibiotics. Watchful waiting is recommended for immunocompetent patients with good follow up. Clinicians must design a safe and effective treatment plan, as well as address underlying factors and tailor therapeutic regimens based on clinical presentation and course of illness. To guide decision making, KP developed an evidence based algorithm for managing sinusitis. The speakers will discuss the evidence and rationale behind the algorithm and review appropriate management of sinusitis, with an emphasis on patient education and avoidance of unnecessary antibiotics.


The speaker(s) and planning committee have no financial relationships to disclose.

Credit Statement:

**Kaiser Permanente San Jose Medical Center is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.
Kaiser Permanente San Jose takes responsibility for the content, quality and scientific integrity of this CME activity.
**Kaiser Permanente San Jose Medical Center designates this Live Course for a maximum of 1.0 AMA PRA Category 1 Credit™
Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Session date: 
Wednesday, December 2, 2020 - 12:30pm to 1:30pm
  • 1.00 AMA PRA Category 1 Credit(s)™

Please login or register to take this course.
CME Office: 
San Jose Medical Center
Conference room: 
Hospital, Large Conference Room