CMAJ July 18, 2016 First published July 18, 2016, doi:10.1503/cmaj.160362 Chronic sinusitis and sinus-related symptoms are underappreciated factors which considerably impact on patient health and quality of life. They also have important societal aspects, which include economic issues but which truly resonate in the very real threat of increasing antibiotic resistance. Despite this, there is a paucity of research in this area, and physicians are left to rely upon habit, expert
Patients who have undergone endoscopic sinus surgery (ESS) for management of chronic sinusitis (CRS) with or without nasal polyposis may nevertheless continue to have symptoms of chronic sinusitis and/or episodes of infection despite initially apparently successful sinus surgery. Several studies have shown that even well-performed sinus surgery can have recurrence of nasal polyps after surgery. In a study from Sweden, 50% of patients showed signs of recurrence of nasal polyps as early as five
The spectre of super-bacteria resistant to antibiotic therapy is once again in the news. Media coverage, (notably in The Economist, a widely read newsweekly) has highlighted that bacteria are increasingly gaining the capacity to be resistant to commonly used antibiotics, and that this will have a serious impact upon human health. What impact does this have on sinusitis sufferers? Possibly quite a bit. Acute bacterial sinusitis is frequently caused by the bacteria Streptococcus pneumonia.