
About 20 percent of antibiotics in the U.S. are written for sinus, despite scant scientific evidence that this treatment really works - and despite the deep concern that unnecessary use of antibiotics leads to a very serious problem around the world
But the procedure antibiotics for common sinus infections () may be soon gone, thanks to results
(gold standard of research), published on Tuesday (JAMA). New research has shown that antibiotics do not relieve the symptoms of sinus infections faster than placebo pills. They do not help sinus infections suffered to return to normal daily activities any more. The study confirmed that instead, many health workers already suspected: the majority of uncomplicated cases of sinusitis find themselves within 10 to 14 days, with or without antibiotics. For research scientists from Washington University in St. Louis randomized 166 patients aged 18 to 70, or placebo, or 10-day treatment with the antibiotic amoxicillin (500 mg three times a day). All patients were diagnosed with moderate, severe or very severe symptoms of sinus infections - things like traffic jams, cough, headache, runny nose, sore throat and fever. All participants were told that they could take over the counter painkillers, nasal drugs and other medications to relieve their symptoms, if they wish. Three days after starting treatment, people strattera no prescritpion in the placebo and amoxicillin groups showed little difference in symptom relief. On the seventh day, more people in the group reported improved symptoms of amoxicillin, but this difference disappeared 10-day. At this point, it seems many people in both groups reported that their symptoms were either significantly improved or disappeared completely. The study also found no differences between groups in satisfaction with treatment, missed days of work, and the likelihood of recurrence of symptoms. The authors concluded that waiting tactics, the best approach to managing sinus than antibiotics. The main reason for the ineffectiveness of antibiotics against infection sinuses that viruses are almost always the source of such infections. Antibiotics are useless against viral infections. Currently, most doctors are unable to determine whether a bacterium or virus is a source of sinus infections. But as the Centers for Disease Control and Prevention, bacterial infections of the sinus is very rare. The authors suggest, JAMA said the following treatment strategy often used in Europe: Give sick sinus prescription for antibiotics, but tell them not to use them if their symptoms worsen or persist. .
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