Few with Chronic Rhinosinusitis Treated with Recommended Intranasal Steroids — Physician’s First Watch

Medical News |
August 26, 2016

Few with Chronic Rhinosinusitis Treated with Recommended Intranasal Steroids

By Kelly Young

Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS

Most patients with chronic rhinosinusitis aren't regularly treated with topical intranasal steroids as recommended by guidelines, according to a retrospective study in JAMA Otolaryngology—Head & Neck Surgery.

Using Canadian provincial health records, researchers identified 19,000 adults who were diagnosed with chronic rhinosinusitis from 2011–2014 but who had not undergone endoscopic sinus surgery. Only 20% had used topical intranasal spray at any time in 2014–2015.

The authors write: “Given that ... practice guidelines provide strong recommendations for daily use of topical [intranasal steroid] therapy, improving utilization of this treatment strategy may represent an opportunity to improve the quality of care.”

Reader Comments (2)

Reginald D. Rice Physician, Family Medicine/General Practice, Marshall Medical Center

Good Practical Info!

Murray Grossan M.D. Physician, Otolaryngology, Cedars Sinai Medical
Competing Interests: I have written on this subject: Whole Body Approach to Allergy and Sinus Health, and I have pulsatile irrigation device - Hydro Pulse Nasal/Sinus Irrigator to aid mucociliary clearance.

Chronic Sinusitis is characterized by impaired mucociliary clearance. In my practice emphasis on improving mucociliary clearance have been effective so that less intranasal steroids are needed.

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