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KMID : 0361020060490100997
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Korean Journal of Otolaryngology - Head and Neck Surgery
2006 Volume.49 No. 10 p.997 ~ p.1002
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The Effect of Antibiotic Nebulizer Therapy for Treatment of Pediatric Chronic Rhinosinusitis
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Min Kyung-Kun
Kim Sun-Young
Kang Il-Gyu
Cha Heung-Eog
Kim Seon-Tae
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Abstract
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Background & 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 & Methods: 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.
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KEYWORD
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Pediatric Chronic Rhinosinusitis, Nebulizer, Antibiotics
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