[Intravenous antibiotics for rhinosinusitis].
The still present problem of choice of a treatment method in chronic sinusitis was introduced in this study. The heterogenous etiology of chronic sinusitis and its treatment consequences were presented. The main current options in the treatment of chronic sinusitis were shown. The functional endoscopic sinus surgery was emphasized as the most important. The different courses of antibiotic therapy: nebulization, oral and intravenous were introduced as a method of choice in exacerbation of chronic process. The intravenous antibiotics were analyzed in details and it was especially based on the bacterial biofilms theory according to the newest literature. The obtaining results were good enough. They were better in children than in adults and in patients with shorter history of sinusitis, however they were not free from complications. Thrombophlebitis, allergic reaction, neutropenia were indicated as most frequent complications that caused the break in the therapy. In the conclusion the intravenous antibiotic therapy was estimated as a useful procedure, but not highly recommended due to a possibility of complications.
Misiołek
Macie J
MJ
Katedra i Oddział Kliniczny Laryngologii w Zabrzu Slaskiej Akademii Medycznej w Katowicach. misiol@mp.pl
D000890:Anti-Infective Agents / Q000008:administration & dosage*; D002908:Chronic Disease; D006801:Humans; D007275:Injections, Intravenous / Q000009:adverse effects; D012220:Rhinitis / Q000188:drug therapy*; D012852:Sinusitis / Q000188:drug therapy*; D016896:Treatment Outcome
D000890:Anti-Infective Agents