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New Study Finds Doctors Overprescribing Antibiotics For Sinus Infections

Doctors are unnecessarily prescribing these drugs. They want prompt relief from
antibiotics for sinus infections. the annoying symptoms of sinusitis. It's
According to the study published in the no wonder why doctors are giving in to
March issue of Archives of their demands.
Otolaryngology-Head & Neck Surgery, US, Although there are several tests to find
antibiotics were prescribed for 82 per out whether a sinus infection is caused
cent of acute sinus infections and nearly by bacteria, they are often expensive and
70 per cent of chronic sinus infections. lengthy. The first test is an endoscopy,
This is a shocking finding as antibiotics which involves inserting a small
can only kill bacteria and most sinus tube-like instrument into the nose to
infections are caused by viruses, collect a sample of mucus from the sinus
allergies or hormonal changes. cavities. The second test is a nasal
The study, by Hadley J. Sharp and cytology, whereby a swab of mucus is
colleagues at the University of Nebraska taken from the lining of the nose to be
Medical Center, Omaha, US, used national examined. The third is taking an x-tray.
data from 1999 and 2002 to determine the It is often difficult for doctors to
drugs that were prescribed for sinus determine the cause of a sinus infection
infections by general practitioners, just from observation. Even specialist
outpatient and emergency departments. The doctors are not able to diagnose the
data came from 2 national surveys by the specific cause without carrying out any
National Center of Health Statistics and tests. The symptoms of sinus infections
was representative of the US population. are similar whether it's caused by
There are 2 types of sinus infections: bacteria, virus, allergy or other
acute and chronic. Acute sinusitis occurs factors.
for up to 4 weeks and is caused by On the prevalent use of antibiotics, the
infectious agents. Chronic sinusitis is researchers suggest that doctors could be
usually defined as an infection with treating secondary infections. Another
symptoms that are persistent for more possible explanation is doctors think
than 12 weeks. It can be caused by that antibiotics work when their patients
allergies, hormonal changes or facial get better taking them. However, many
anatomy. infections resolve with or without
There are currently no effective drugs treatment.
for chronic sinusitis. According to Dr. The researchers are concerned about the
Donald A. Leopold, chairman of the overuse of antibiotics giving rise to
department of otolaryngology at the drug resistance and virulence of
University of Nebraska Medical Center, infectious bacteria. Although the public
antibiotics are the best of a bad lot. are aware of the increasing antibiotic
Many patients would call up their doctors resistance, many sinusitis sufferers are
and demand for specific antibiotics that likely to continue demanding for
may give them relief. They are aware of antibiotics.




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