Which Antibiotics Are Best For Sinus Infections In Children
- The antibiotic of choice for both children and adults who are not allergic to penicillin is amoxicillin with clavulanic acid .
- Azithromycin is NOT recommended for sinusitis due to bacterial resistance.
- Cefinir and other cephalosporins are NOT recommended for sinusitis except in combination therapy with clindamycin for children with non-life- threatening allergic reactions to penicillin. In these cases, the cephalosporin of choice is cefixime .
- Levofloxacin or doxycycline are the recommended antibiotics for adults with true penicillin allergies. Levofloxacin can also be considered for the treatment of children with life-threatening allergic reactions to penicillin. Doxycyline is not for use in children.
- Oral decongestants are not recommended for the treatment of sinusitis. Antihistamines may be used if there are underlying seasonal/environmental allergies.
- Nasal steroid sprays and nasal saline flushes can be helpful for sinusitis.
Lou Romig, MD, FAAP, FACEP, Medical Director
After Hours Pediatrics Urgent Care
When Do You Really Need Antibiotics For That Sinus Infection
- By Monique Tello, MD, MPH, Contributor
It was February, and clinic was teeming with respiratory infections of all kinds: mostly the common cold, but also bronchitis, pneumonia, and sinus infections. The patients were coming in usually thinking that they needed antibiotics for their sinus infection, or another respiratory infection.The first patient on my schedule was a healthcare provider with sinus infection written down as her main issue.* Shed had about two weeks of nasal and sinus congestion which she blamed on a viral upper respiratory infection . Her two young kids had been sick with colds all winter, so she wasnt surprised to have these symptoms, along with endless postnasal drip and a cough.
Her congestion had improved a bit at one point, and she thought that she was finally getting better. But then, the day before her appointment, she awoke with throbbing pain between her eyes, completely blocked nasal passages, and, more concerning to her, green pus oozing from her left tear duct. She had body aches, chills, and extreme fatigue.
The Link Between Sinus Infections And Bronchitis
Reviewed by Theresa H. Care Delivery Manager & Family Nurse Practitioner
When a cold strikes, it can make you feel miserable. Whats more, a stuffed up head and nose can quickly progress leading to other uncomfortable symptoms including facial pain, sinus pressure, post-nasal drip and chest congestion. In fact its not uncommon for a cold to develop into a sinus infection or bronchitis.
But what exactly is a sinus infection? Are sinus infections and bronchitis linked? Why are some people more prone to developing sinus and bronchial infections? And, most importantly, if you have a sinus infection or bronchitis, what can you do to feel better?
Don’t Miss: Best Medication To Stop Sinus Drainage
Nasal Wash: Neti Pots Saline Nasal Spray And More
Many people find sinus relief through a saline nasal wash, but it does require some preparation. You can find a lot of these supplies at most drug stores, including
- rinse bottles,
You can buy a pre-filled container or make your own saline solution.
Nasal Saline Solution Recipe
To make your own nasal saline solution, follow this simple recipe:
- 16 ounces of sterile water
- 1 tsp salt
- ½ tsp baking soda
Simply mix the lukewarm, sterile water with the salt. Some people add ½ teaspoon of baking soda to take the sting out of the salt, but this ingredient is optional.
Root Canals Do Not Cause Sinus Infections But Can Cause Similar Symptoms
Root canals do not cause sinus infections. However, if youre still suffering from symptoms that seem like sinusitis after a root canal, its likely that you have whats known as a sinus communication.
This means that there is a small hole in your sinus lining near the root of your treated tooth. Your sinus lining is very close to the root of your tooth and it is very delicate and thin. Its possible that your dentist may have punctured it during the root canal process.
The symptoms of this are quite similar to a sinus infection, which is why some people think that it may be possible for a root canal to cause a sinus infection. You may notice things like:
- Congestion and sinus pressure
- Runny nose
- Post-nasal drip
However, there are some symptoms of a sinus communication that are not common in sinusitis, such as:
- Feeling fluid go into your nose when drinking
- Feeling air go across the socket of your tooth when you breathe
The good news is that sinus communications will heal on their own, usually in just a few days. However, you should contact a dentist like Dr. McCue if you notice symptoms that persist for 1-2 weeks or more. You may need further help to treat your sinus communication.
Don’t Miss: What Can Cure A Sinus Infection
First Line Of Defense Against Sinusitis: Nasal Irrigation
One of the simplest, cheapest, and most effective ways to prevent and treat sinus problems is nasal irrigation. Using a homemade solution, you can often relieve sinusitis symptoms, reduce reliance on nasal sprays and antibiotics, and improve your quality of life. At least once a day, follow these steps:
Is Your Sinus Infection Acute Or Chronic
A short-term sinus infection is often referred to as acute sinusitis. Most cases of acute sinusitis last about a week, but this type of short-term sinus infection can last up to four weeks. If you suffer from a sinus infection that lasts longer than 12 weeks despite treatment from your doctor, its considered chronic sinusitis.
Also Check: Does A Sinus Infection Require Antibiotics
Loss Of Smell And Taste
A side effect of nasal congestion is that you will find it challenging to smell or taste. Again, the swelling is to blame since the scents and aromas you are used to cant reach the top of the nose.
Sometimes, the inflammation presses down on the nervous system, impacting the signal that triggers taste and smell. Allergies and a cold can also cause these symptoms, which is why its vital to speak to a professional ENT doctor if youre concerned.
Schedule An Appointment With Independence Ear Nose & Throat
At Independence Ear, Nose & Throat, we have the expertise and experience to diagnose your symptoms and prescribe the proper ear, nose, & throat treatment to make your life easier. All you have to do is call us today at 772-888-1880, and well book you an appointment with one of our hearing health professionals.
Don’t Miss: Does Amoxicillin Help With Sinus Infection
How Long Do Antibiotics Take To Work On Sinus Infections
Often, sinus infections are treated with antibiotics. However, your doctor will determine the best treatment based on the root cause of your sinus infection. If antibiotics are prescribed, you may want to know how long it will be before you start to experience relief from symptoms.
Read on to find out how sinus infections are diagnosed, when your doctor may prescribe antibiotics, and how long it will take antibiotics to take effect.
Know The Difference Between Sinusitis And A Sinus Communication
Root canals cant cause sinus infections, but they can cause similar symptoms if your sinus lining is punctured during treatment. If you need more information about root canals or you suspect that you may have a sinus communication and need help with treatment, dont wait. Contact McCue Dental Health now at 456-1091, or stop by our office at 10625 West North Avenue, Suite 300, Wauwatosa, WI 53226 to schedule your appointment.
You May Like: How To Reduce Sinus Mucus
What Causes Sinus Symptoms
If you find yourself frequently dealing with sinus pain and sinus pressure, finding the cause is an important step toward finding sinus relief. Any time the tissue in your nose and sinuses gets swollen and inflamed, it can lead to sinus problems. Here are a few sinus problem causes to consider:
- Temperature changes
Treatment For Sinus Infection
Whether you have an acute sinus infection or a chronic infection, a number of treatment options can relieve your discomfort. If youre in the early stage of an acute sinus infection, it may be appropriate to start at-home treatments while you monitor your symptoms. If your sinusitis worsens, youll need to call your doctor for medication and further care. Even if youre receiving treatment from your doctor, at-home care can help ease your symptoms.
Read Also: What Is The Best Nighttime Sinus Medicine
Causes & Risk Factors
Any health situation that blocks off the vital drainage channels of your sinuses can cause a sinus infection including:
- Respiratory infections like the common cold
- Hay fever or exposure to allergens such as cigarette smoke, dry air and pollutants
- Obstructions in the nasal or sinus cavities including nasal polyps, deviated septum, or nasal bone spur
- Non-allergic rhinitis
- Changes in air pressure
- Infections resulting from dental problems
- Physical injury to the sinuses
- Bacteria, viruses, and fungi
The five most common bacteria that can cause sinus infections are: Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus, and Streptococcus pyogenes.
Risk factors for sinus infections include:
- Having asthma
- Being in the hospital, especially if the reason you are in the hospital is related to a head injury or you needed a tube inserted into your nose
Irrigate Your Sinuses To Help Ease Symptoms And Prevent Sinus Infections
Nasal irrigation is basically a method of using a saltwater solution to force out germs and plugged-up mucus residing in the sinus passages. Other terms for this are nasal wash, nasal douche, or lavage. Some people refer to it by one of the popular devices used to get the water in, a neti pot.
A small number of studies has found irrigation can improve symptoms, including one review published in September 2016 in the Canadian Medical Association Journal.
Experts caution that it is important to use distilled or sterile water to avoid the rare possibility of introducing a parasite into your sinus passageways.
Recommended Reading: Can You Flush Out A Sinus Infection
How Long Can A Fever Last With Sinus Infection
When to see the doctor for sinus infection Symptoms that last more than 10 days without improvement and are worsening after you started to improve is cause for concern. If you have symptoms like severe headache or facial pain and a fever that lasts longer than three to four days, you should seek immediate medical care.
Surgical Treatment For Chronic Sinusitis
Although medical therapy and lifestyle tweaks are the first-line treatment for chronic rhinosinusitis, some people may fail to respond to optimal therapy. In such cases, Ear, Nose Throat and Allergy Specialist performs a surgery to widen up the blocked sinuses and remove any trapped mucus or polyps.
Other situations in which surgery could be considered include:
- When chronic sinusitis symptoms do not respond to the medical treatments listed above, and CT scan of your sinuses reveals complete blockage of one or more sinuses.
- When nasal polyps fail to shrink enough with steroids.
- When a severe deviation of the septum completely blocks your nose or hinders sinus drainage.
- When theres a suspicion of allergic fungal sinusitis. The sinuses in allergic fungal sinusitis get clogged with thick, dense mucus that is hard to remove in any way other than surgery.
You May Like: Good Medicine For A Sinus Infection
How To Tell If You Have An Actual Sinus Infection
Even though we often say we have a sinus infection even if its just inflammation or an allergic response, there are symptoms of an actual infection that may be treatable with antibiotics. Nasal congestion and pain under the eyes or around the temples are, of course, main symptoms, but others include the loss of the sense of smell, green nasal discharge, mucus dripping down your throat, cough, fever, fatigue, sore throat, and even bad breath.
Sometimes, a sinus infection will clear up without intervention, but if you develop a fever of 100.4 degrees or higher, have your symptoms for 10 or more days, notice that your symptoms are getting worse and are not improved by OTC medications, or you have multiple infections in a years time, you should seek medical treatment as soon as possible.
Sinus Infection: Signs & Symptoms + 10 Natural Remedies
About 35 million Americans suffer from a sinus infection or sinusitis every year. Sinusitis is an inflammation, or swelling, of the tissue lining the sinuses that leads to an infection. It can result in mucus build-up and pain. If youve ever experienced a sinus infection, then you know just how unpleasant it can be much worse than a stuffy nose. While in most cases, a sinus infection will simply leave you running to find a decongestant, in the worst cases, it can lead to surgery to remove an abscess that has developed or the obstruction of the sinuses.
In the United States, sinusitis is the fifth most common medical diagnosis for which antibiotics are prescribed these days. The management of acute and chronic sinusitis is also costing this country over $11 billion every year. That doesnt even include the economic impact of lost work time due to illness.
While antibioticsfor sinus infection are a very common conventional treatment, the majority of sinus infections are actually the result of colds or viruses. They will get better as your nasal congestion improves.
Thankfully, there are a lot of natural ways to treat a sinus infection, including the foods you eat , saline nasal sprays, essential oils and supplements scientifically proven to be an effective sinus infection home remedy.
Don’t Miss: Sinus Infection Vs Flu Vs Cold
How To Prevent Sinusitis
- Drink a lot, whether it is water or juice. More than two liters a day, especially if the symptoms continue.
- Avoid dust or smoke pollutionbecause this further irritates the nasal cavity.
- I prefer humid places, and To wet the room, you can place water or use special equipment.
- Wet your nose with compresses of hot water. Showers are also recommended because the steam helps release the nasal sinuses.
- Do not use too many inhalers because, in the long run, they will be counterproductive.
- Clean your nose well. You can find some products containing water and salt in the pharmacy.
Ways To Recognize Serious Signs Of Sinus Infections
The length of the infection is an important determinant of the seriousness of the infection.
I usually consider most infections less than 3 weeks to be viral or inflammation related to congestion. At this point, the best treatment is usually medications that decrease the congestion and inflammation. This in turn will alleviate the symptoms and ultimately cure the illness.
When the illness continues beyond 3 weeks, bacterial infection can begin to develop. Though antibiotics can be considered at this point, other treatments may still be the best answer if they have not yet been given a try.
#2: Mucous Color
I will dispel a myth right here and now. Yellowish/greenish mucous does not necessarily mean the infection is bacterial.
Viruses can cause the same color mucous. The reason for the mucous is generally not the actual bacteria or virus, but the bodys immune response to the intruder.
So dont worry just because you see a colored mucous when you blow your nose. This will also improve as the infection abates.
#3: Sinus Pain
Sinus pain can occur anytime throughout a sinus infection. This is normal and means there is inflammation in the sinuses, as we discussed previously.
However, severe pain, redness over the skin, hardened skin over the sinuses, or even a severe headache are not generally normal and can indicate a bacterial infection.
A fever can be caused by both viruses and bacteria. So how do you differentiate between the two?
Recommended Reading: How To Stay In Sinus Rhythm After Cardioversion
Most Sinus Infections Dont Require Antibiotics
Ah, . The New England Journal of Medicine published a clinical practice review of acute sinus infections in adults, that is, sinus infections of up to four weeks. The need for an updated review was likely spurred by the disconcerting fact that while the vast majority of acute sinus infections will improve or even clear on their own without antibiotics within one to two weeks, most end up being treated with antibiotics.
It is this discrepancy that has clinical researchers and public health folks jumping up and down in alarm, because more unnecessary prescriptions for antibiotics mean more side effects and higher bacterial resistance rates. But on the other hand, while 85% of sinus infections improve or clear on their own, theres the 15% that do not. Potential complications are rare, but serious, and include brain infections, even abscesses.
Should You Visit A Specialist
If your sinus infection just wont go away or keeps coming back, it may be time to see an ear, nose, and throat specialist. An ENT treats conditions of the ear, nose, throat, head, face, and neck. It may be time to see an ENT if:
- Youve completed several courses of antibiotics without success
- Your doctor suspects nasal polyps or another blockage of the nasal cavity
- You have chronic sinusitis that lasts longer than 12 weeks
Living with a sinus infection is miserable and living with a sinus infection for weeks on end is worse. Contact your doctor or an ENT to get the treatment you need.
Also Check: Medicine For Children’s Sinus Infection