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(8) The AAO-HNSF reports that symptoms that favor a bacterial (as opposed to viral) infection include: Symptoms or signs of acute rhinosinusitis (purulent nasal drainage accompanied by nasal obstruction, facial pain/pressure/fullness, or both) persist without evidence of improvement for at least 10 days beyond the onset of upper respiratory symptoms Symptoms or signs of acute rhinosinusitis worsen within 10 days after an initial improvement (double worsening) The common bacteria found in people with bacterial sinusitis are: Streptococcus pneumoniae , the bacteria behind pneumococcal disease (9) Haemophilus influenzae , a bacterium that causes various invasive diseases, including pneumonia, meningitis, and cellulitis (10) Moraxella catarrhalis , a leading cause of otitis media (ear infection) in children (11) Streptococcus pyogenes , best known for causing strep throat (12) Staphylococcus aureus , which is the bacteria behind staph skin infections (13) Prevotella, Porphyromonas , Fusobacterium, and Peptostreptococcus are the genera that include the most common types of bacteria present in people with chronic sinus infections, or those that last 12 weeks or more

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it is thus likely to be useful for communicating magnitude of risk