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AMERICAN JOURNAL OF RHINOLOGY & ALLERGY
Volume 26, Issue 3, Pages 201-203Publisher
OCEAN SIDE PUBLICATIONS INC
DOI: 10.2500/ajra.2012.26.3747
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Background: The use of saline and topical medications in the treatment of chronic rhinosinusitis (CRS) is now common practice among otolaryngologists. Although high-level studies have consistently shown the benefit of saline in symptom improvement of CRS patients, to date, only lower-level evidence exists advocating a benefit of other topical medications. Methods: Recently, increased interest has emerged surrounding the devices used to deliver such therapies with mounting evidence consistently showing contamination with pathogenic organisms such as Staphylococcus aureus and Pseudomonas aeruginosa. Results: In addition, the potential for such contamination to cross-infect sinus cavities and lead to postoperative infections is also of concern. Conclusion: This review examines the current evidence available concerning the issue of contamination and its clinical relevance and offers the otolaryngologist advice on patient education when dispensing such devices. (Am J Rhinol Allergy 26, 201-203, 2012; doi: 10.2500/ajra.2012.26.3747)
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