Got a Sinus Infection? Skip the Antibiotics
In the U.S., approximately 20% of antibiotic prescriptions written are for sinus infections. However, many doctors have long doubted whether antibiotics actually successfully treat the infection. A new study confirms their doubts.
Antibiotics that doctors typically prescribe for sinus infections do not reduce symptoms any better than an inactive placebo, according to investigators at Washington University School of Medicine in St. Louis.
“Patients don’t get better faster or have fewer symptoms when they get antibiotics,” says Jay F. Piccirillo, MD, professor of otolaryngology and the study’s senior author. “Our results show that antibiotics aren’t necessary for a basic sinus infection — most people get better on their own.”
The study appears Feb. 15 in the Journal of the American Medical Association.
In the United States as many as one in five antibiotic prescriptions are for sinus infections, the authors point out. And given the rise of bacteria resistant to such drugs, they say it is important to find out whether this treatment is effective. Their results show it is not.
“We feel antibiotics are overused in the primary-care setting,” says Jane M. Garbutt, MD, research associate professor of medicine and the paper’s first author. “There is a movement afoot, led by the Centers for Disease Control and Prevention, to try to improve the judicious use of antibiotics. We hope this study provides scientific evidence that doctors can use with patients to explain that an antibiotic is not likely to help an acute sinus infection.”
In practice, instead of giving antibiotics, such as the amoxicillin used in this study, the researchers suggest treating symptoms, such as pain, cough and congestion, along with watchful waiting to see whether further treatment is necessary.