medications

Nasal Steroids Instead of Antibiotics for Treatment of Acute Rhinosinusitis?

James Thompson, MD Health Pro January 30, 2013
  • Months ago some qualified researchers (physician specialists in this case) published an article in Annals of Allergy, Asthma and Immunology which reported superior outcomes of intranasal steroid (INS) compared to antibiotic or placebo (a substance containing no medication but made to look like medica...

2 Comments
  • liz0003
    Feb. 09, 2013

    Hi Dr. Thompson...  I came across your article regarding Nasal steroids may play a vital role in the treatment of rhinosinusitis and seem to be having good results. My son is 12 years old and suffered from chronic sinus infections to the point it seemed he was on antibiotics every month for years (he is IgA deficient to boot)! I have kept him on generic...

    RHMLucky777

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    Hi Dr. Thompson...  I came across your article regarding Nasal steroids may play a vital role in the treatment of rhinosinusitis and seem to be having good results. My son is 12 years old and suffered from chronic sinus infections to the point it seemed he was on antibiotics every month for years (he is IgA deficient to boot)! I have kept him on generic Flonase for the past year and he only had one sinus infection!!! This is awesome for him. So my thoughts now are; is it the nasal spray or is it his age??? Is he starting to grow out of it???? Not sure, but sure glad the infections have slowed down! Thanks for your interesting article! Regards, Liz from NJ

    • James Thompson, MD
      Health Pro
      Feb. 11, 2013

      Dear Liz,

       

      Thanks for your reply and accolades. Your son may have improved from the combination of nasal steroid spray (Flonase) and other factors. Other factors include maturation of his immune system which occurs in early teenage years, and possibly less exposure to infectious organisms (difficult to prove that one). I'm very glad things are going well,...

      RHMLucky777

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      Dear Liz,

       

      Thanks for your reply and accolades. Your son may have improved from the combination of nasal steroid spray (Flonase) and other factors. Other factors include maturation of his immune system which occurs in early teenage years, and possibly less exposure to infectious organisms (difficult to prove that one). I'm very glad things are going well, because deficiency in IgA antibody lowers the threshold for respiratory infections. It's really good he's done well despite this disadvantage.

       

      If sinus problems become more severe he should be tested for allergic triggers (if not already done). Environmental controls and other steps to avoid trigger factors that are allergy based may be helpful.

       

      Again, thanks for sharing,

       

      Best Wishes,

       

      James T.