The Effect of Antibiotic Nebulizer Therapy for Treatment of Pediatric Chronic Rhinosinusitis.
- Author:
Kyung Kun MIN
1
;
Seon Young KIM
;
Il Gyu KANG
;
Heung Eog CHA
;
Seon Tae KIM
Author Information
1. Department of Otolaryngology, Gil Medical Center, Gachon University, Incheon, Korea. rhinokim2002@hanmail.net
- Publication Type:Original Article
- Keywords:
Pediatric chronic rhinosinusitis;
Nebulizer;
Antibiotics
- MeSH:
Adult;
Anti-Bacterial Agents;
Child;
Cough;
Follow-Up Studies;
Humans;
Nasal Obstruction;
Nebulizers and Vaporizers*;
Sinusitis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2006;49(10):997-1002
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES : The management of chronic recurrent rhinosinusitis in children has become controversial, because there are now various treatment modalities. We assessed nebulized antibiotic therapy, which had been studied as a treatment option in the postoperative infection in adult patients, for its effectiveness in children with chronic rhinosinusitis. Subjects and METHOD : We have selected 34 pediatric chronic rhinosinusitis patients who have received treatment for 3 months or 3 times for recent 6 months with oral antibiotics. They were treated with a nebulized antibiotic therapy for 4 weeks. We have compared pre-and post-treatment symptom scores, physical scores, and radiologic scores. After 6 months of follow up, infection free period was assessed. RESULTS : In 34 patients, 25 patients were selected for study. The symptoms and physical findings were improved in 76%, and the radiologic findings were also improved in 56%. Improvement in rhinorrhea, nasal obstruction, coughing and nasal swelling were significant. Mean infection free period was 13.7 weeks. CONCLUSION : Nebulized antibiotic therapy might be considered as another therapeutic option for pediatric patients with chronic sinusitis who have failed to respond to oral antibiotics or who cannot tolerate them.
