Long-term antibiotics for Chronic Rhinosinusitis: changing views

W J Fokkens1

  • 1Department of Otorhinolaryngology, Amsterdam University Medical Centres, Location AMC Amsterdam, Amsterdam, The Netherlands.

Rhinology
|August 3, 2019
PubMed

Insights

Long-term macrolide antibiotics may help treat chronic rhinosinusitis (CRS) due to their anti-inflammatory and immune-modulating effects. This approach is based on positive outcomes observed in diffuse panbronchiolitis patients treated with antibiotics.

Area of Science:

  • Otolaryngology
  • Pulmonology
  • Pharmacology

Background:

  • Diffuse panbronchiolitis shows positive responses to long-term antibiotics.
  • Chronic rhinosinusitis (CRS) is a complex inflammatory condition.
  • Macrolides are a class of antibiotics with known anti-inflammatory properties.

Purpose of the Study:

  • To investigate the potential therapeutic effects of long-term macrolide use in chronic rhinosinusitis.
  • To evaluate the impact of macrolides on CRS symptomatology.

Main Methods:

  • Review of existing studies on macrolide treatment for CRS.
  • Analysis of data from Asian studies on antibiotic efficacy in related respiratory conditions.

Main Results:

  • Macrolides demonstrate anti-inflammatory and immune-modulating effects.
  • Evidence suggests potential benefits of long-term macrolides for CRS symptoms.

Conclusions:

  • Long-term macrolide therapy is a promising avenue for managing chronic rhinosinusitis.
  • Further research is warranted to confirm efficacy and optimal protocols for macrolide treatment in CRS.

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