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Recent News and Articles on the Keywords: sinus + infection + treatment  Related to the article below (Last Update: 8/5/2008)


Ortho SuperSite
Two-stage protocol remains the gold standard of care for infection ...
Ortho SuperSite, NJ -
This radiograph shows an infected revision TKA with multiple sinus tracks. At 7 years post reconstruction, the infection is cleared. ...
Allergy Relief Medicines, Allergy Relief Products, Allergy Relief ...
NewDesignWorld (press release), UK - Jul 7, 2008
Dr. Gott Recommended Sinus Treatment is All Natural and Safe for Every Day Use - Sinus |Sinus Infection Treatment |Sinus Infection Cure |Treatment for Sinus ...
What Type of Headache Do You Have?
FOXNews - Jul 29, 2008
Treatment: If the sinus headache is an infection, antibiotics will be needed, as well as a nasal steroid and nasal saline spray. If the headache is mild and ...
Warning over two types of antibiotic
Herald.ie, Ireland - Aug 2, 2008
By Clodagh Sheehy TWO antibiotics, one used in the treatment of kidney infections and the other used for bronchitis, pneumonia and sinus infections, ...
Prominent Physician Achieves Success Using Topical Sinus ...
PR-USA.net (press release), Bulgaria - Aug 1, 2008
Los Angeles, CA (PRWEB) August 1, 2008 -- Dr. Murray Grossan releases new information today regarding his new treatment protocol for sinus infections. ...
Hey, Cherie!
Stamford Advocate, CT - Jul 28, 2008
I want to know why they can't just take me to a regular doctor and get me antibiotics for a sinus infection. I took biology and learned that these drugs ...
Sinus infection home treatment - treating a sinus infection from home
American Chronicle, CA - Aug 3, 2008
If you have a sinus infection home treatment remedies can have a permanent healing effect. Often, you may try to find relief with over the counter drugs, ...

MSNBC
How to treat the 5 most common headaches
MSNBC - Jul 18, 2008
What to do: Headaches due to sinus infection can be treated with antibiotics, as well as antihistamines or decongestants. Overuse of painkillers for ...
Cell Count and Differential of Aspirated Fluid in the Diagnosis of ...
Journal of Bone and Joint Surgery (subscription) - Aug 1, 2008
A patient was diagnosed with a periprosthetic infection if he or she met one of three criteria: (1) the presence of an abscess or sinus tract that was found ...

Telegraph.co.uk
No antibiotics for cough, colds and ear infections
Telegraph.co.uk, United Kingdom - Jul 22, 2008
... to patients who are suffering from minor illneses such as an ear infection, sore throat, tonsillitis, a cold, sinus infection, cough or bronchitis. ...
GPs told to cut antibiotics usage BBC News
all 33 news articles »
Source: Google News

Diagnosis and treatment of intracranial complications of paranasal sinus infections -
RW Dolan, K Chowdhury - Journal of Oral and Maxillofacial Surgery, 1995 - Elsevier
... 5 After the sinus and intracranial infections have re- solved, definitive treatment
of the sinus responsible for the infection should be considered. ...

SINUS INFECTION AND ADENOTONSILLITIS IN PEDIATRIC PATIENTS. -
D PAUL, MS DLO - The Laryngoscope, 1981 - laryngoscope.com
... etc., which does not improve after removal of tonsils and adenoids, but after treatment
for sinuses, it can be said that it is sinus infection which is a more ...

Which technique for treatment of pilonidal sinus?Open or closed? -
M F?z?n, H Bakir, M Soylu, T Tansug, E Kaymak, ? … - Diseases of the Colon & Rectum, 1994 - Springer
... In Group A and Group B, infection rates were 3.6 ... both techniques have very low
complication rates, treatment of chronic pilonidal sinus should be based ...

A Randomized, Placebo-Controlled Trial of Antimicrobial Treatment for Children With Clinically … -
JM Garbutt, M Goldstein, E Gellman, W Shannon, B … - Pediatrics, 2001 - Am Acad Pediatrics
... infection," and, "If my child gets another sinus infection, I would be satisfied
if the same medicine was prescribed." Compliance with treatment was assessed ...

CT of the paranasal sinuses: study of a control series in relation to endoscopic sinus surgery -
GAS Lloyd - The Journal of Laryngology and Otology, 2007 - Cambridge Univ Press
... in which persistent sinus infection and ostial obstruction interact, the one giving
rise to the other and vice versa. However, in terms of the treatment of ...

Principles of appropriate antibiotic use for acute sinusitis in adults -
V Snow, C Mottur-Pilson, JM Hickner? - Ann Intern Med, 2001 - Am Coll Physicians
... bacterial infection. Sinus radiography is not recommended for diagnosis in routine
cases. Acute bacterial rhinosinusitis resolves without antibiotic treatment ...

Septic thrombosis of the dural venous sinuses.
FS Southwick, EP Richardson Jr, MN Swartz - Medicine (Baltimore), 1986 - ncbi.nlm.nih.gov
... frequently accompanies bacterial meningitis or air sinus infection. ... in cases of chronic
cavernous-sinus thrombosis ... analysis suggests that treatment with heparin ...

… between middle and inferior meatal antrostomy in the treatment of chronic maxillary sinus infection …
E Arnes, IM Anke, IW Mair - Rhinology, 1985 - ncbi.nlm.nih.gov
A comparison between middle and inferior meatal antrostomy in the treatment of
chronic maxillary sinus infection. Arnes E, Anke IM, Mair IW. ...

Principles of appropriate antibiotic use for treatment of nonspecific upper respiratory tract … -
V Snow, C Mottur-Pilson, R Gonzales? - Ann Intern Med, 2001 - Am Coll Physicians
... denote an acute infection in which sinus, pharyngeal, and ... in such patients predict
neither bacterial infection nor benefit from antibiotic treatment. ...

Endoscopic endonasal surgery--concepts in treatment of recurring rhinosinusitis. Part I. Anatomic …
H Stammberger - Otolaryngol Head Neck Surg, 1986 - ncbi.nlm.nih.gov
Endoscopic endonasal surgery--concepts in treatment of recurring ... most infections
of the paranasal sinus are rhinogenic ... The common focus of infection in cases of ...

Source: Google Scholar

Some Common Treatments for Sinus Infections May Not Be Effective

A comparison of common treatments for acute sinusitis that included an antibiotic and a topical steroid found neither more effective than placebo, according to a study in the December 5 issue of JAMA.

Acute sinusitis (sinus infection) is a common clinical problem with symptoms similar to other illnesses, and is often diagnosed and treated without clinical confirmation. Despite the clinical uncertainty as to a bacterial cause, antibiotic prescribing rates remain as high as 92 percent in the United Kingdom and 85 percent to 98 percent in the United States, according to background information in the article. “Because there are no satisfactory studies of microbiological etiology from typical primary care patient practices, wide-scale overtreatment is likely occurring,” the authors write. Concerns about wide-spread antibacterial use include increasing antibiotic resistance in the community. Anti-inflammatory drugs such as topical steroids are also used as a treatment and may be beneficial, but there has been limited research.

Ian G. Williamson, M.D., of the University of Southampton, England, and colleagues conducted a double-blind randomized placebo-controlled trial to determine the effectiveness of the antibiotic amoxicillin and topical steroid budesonide in acute maxillary sinusitis (rhinosinusitis; inflammation of the nasal cavity and sinuses). The study included 240 adults with acute nonrecurrent sinusitis treated at 58 family practices between November 2001 and November 2005. Patients were randomized to 1 of 4 treatment groups: antibiotic and nasal steroid (500 mg of amoxicillin 3 times per day for 7 days and 200 μg of budesonide in each nostril once per day for 10 days); placebo antibiotic and nasal steroid; antibiotic and placebo nasal steroid; placebo antibiotic and placebo nasal steroid.

The researchers found that the proportions of patients with symptoms lasting 10 or more days were 29 of 100 (29 percent) for amoxicillin vs. 36 of 107 (33.6 percent) for no amoxicillin; and 32 of 102 (31.4 percent) for topical budesonide vs. 33 of 105 (31.4 percent) for no budesonide. Secondary analysis suggested that nasal steroids were significantly more effective in patients with less severe symptoms at baseline.

“Our main conclusions are that among patients with the typical features of acute bacterial sinusitis, neither an antibiotic nor a topical steroid alone or in combination are effective in altering the symptom severity, the duration, or the natural history of the condition. Topical steroids are likely to be effective in those with such features but who have less severe symptoms at presentation to the physician,” the authors write.

(JAMA. 2007;298(21):2487-2496. Available pre-embargo to the media at www.jamamedia.org)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Editorial: Acute Sinusitis—To Treat or Not to Treat?

In an accompanying editorial, Morten Lindbaek, M.D., of the University of Oslo, Norway, comments on the findings regarding treating acute sinusitis.

“The study by Williamson et al has implications for clinicians who treat patients with acute sinusitis–like symptoms. This study reinforces the lack of benefit from antibiotics shown in a number of other studies that recruited patients based on clinical symptoms and findings. Most patients with acute purulent sinusitis recover without antibiotic treatment, as was also observed in a study that used sinus computed tomography scans as the diagnostic standard. But some patients with sinusitis are more ill than others with fever, malaise, and deteriorated general condition. These patients still are in need of antibiotics, although they are relatively uncommon in general practice. So far there is no reliable way to distinguish viral sinusitis from bacterial sinusitis in the general practice setting, and a point of care test that could single out patients who could benefit from antibiotic treatment is not available.”

(JAMA. 2007;298(21):2543-2544. Available pre-embargo to the media at www.jamamedia.org)

Editor’s Note: Please see the article for additional information, including other financial disclosures, funding and support, etc.
 
 
 
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