Antibiotics Aren't Necessary
Antibiotics for Sinus Infection? Not so Fast!
If you have read any of the content on this site you know I'm really not a fan of antibiotics. I'm convinced there is a great place for them in medicine, but I strongly believe they are severely over prescribed. As a result of these antibiotics being over prescribed the bacteria they fight become stronger and more resistant. Which in turn requires stronger antibiotics which have more significant and more concerning side effects. Then guess what happens to the bacteria they fight? That's right, they get even more resistant and the cycle continues. Where does it end? What is the end game with a cycle like that? It's not pretty.
Now there's research out today from Washington University School of Medicine, which suggests that in clinical trials and studies where patients with a sinus infection are given either a placebo or a course of antibiotics to treat their sinus infection. After three days there was no difference in the patients who were given antibiotics and the patients who were given the placebo.
You can't say the researchers don't have a sense of humor. Participants in the study had to meet criteria for moderate to severe sunusitus, but they would not be in the study if they had any complicating factors such as cronic sinusitus or chest congestion. The participants were divided into two groups where one group was given a 10 day course of amoxicillin and the other group were given a 10 day course of placebo. They were then evaluated at day 0, 3, 7, 10 and 28. They evaluated them using a questionnaire called "Sinonasal Outcome Test -16" or SNOT-16 for short!
The research did show a small statistically significant change in results after 7 days but the researchers said that while it was statistically significant it didn't represent a change that patients would likely notice.
So what's the bottom line? This is just another case where patients and caregivers are over prescribing what they think is the quick fix. But not only does the quick fix not work, it is making things worse by helping to eventually create super-bugs, or bacteria nad virus' that are super resistant to currently available treatments.
Obviously my main concern is with UTI's and urinary tract infections and antibiotics. The healthy human body is an amazing piece of work and if you care for it properly and let it do its job, most of the time it can take care of its self.
Here's the best quote from one of the researchers that sums everything up nicely:
"Our results show that antibiotics aren't necessary for a basic sinus infection - most people get better on their own." - Senior author Dr Jay F Piccirillo, professor of otolaryngology at the School of Medicine at Washington University.


Cystitis or Urinary Tract Infections are painful and sometimes incapacitating infections and we're committed to providing you with the information you need to help treat and prevent these infections. Did you know that most infections are caused by the E. Coli bacteria? Learn about that and more by clicking through this site and educating yourself. You know what they say. An ounce of prevention is worth a pound of cure. Well, we have a pound of prevention, so just imagine what that's worth!