Chronic Sinus Infections

Question:

Culture and antibiotics We take cultures because by the time the patient gets to my office they have usually already had several antibiotics. It isn’t just the antibiotic that is needed, its the cilia movement, the drainage, the habit patterns, etc. Of course the patient won’t get well if they don’t rest, or there is need for drainage or pulsatile irrigation. There are other things to consider besides antibiotics. Murray Grossan, M.D. http://www.ent-consult.com

Response:

>It isn’t just the antibiotic that is >needed, its the cilia movement, the drainage, the habit patterns, etc. Of >course the patient won’t get well if they don’t rest, or there is need for >drainage or pulsatile irrigation.

I went for my Pre-op exam and the ENT said that there was no need to do a culture as he did not see any build-up of mucus in the sinuses – THANKS TO JUST ONE WEEK OF NIGHTLY IRRIGATION!!! He said the cleaner my sinuses going into surgery the easier the procedure will be for both of us and encouraged me to keep irrigating up until the morning of the surgery. THANK YOU DR GROSSAN!!!! Too bad the irrigator can’t fix my deviated septum also! Sincerely, Nadine

Response:

In article <7gcr7r$…@sjx-ixn9.ix.netcom.com>, laz…@ix.netcom.com wrote: > So for the past 15 years or so I have suffered from really bad sinus > infections. If I get a cold or get run down – boom. Low grade fever if a > fever is present at all and dragging all day. Takes a long time to get back > up to snuff. Anyway my question is what is the best antibiotic for this? > Thanks

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Response:

>Isn’t that the truth!!! I’ve never had a GP, Allergist or an ENT suggest a >culture. Just gave me 5 different antibiotics , sinus surgery, steroid >nasal sprays and antihistamines. Probably crossed their fingers and hope

The ENT doing my surgery on the 25th is having me come in on the 21st to do a sinus culture so he’ll know exactly what to put me on post-op. In 20 years no one has ever suggested a culture. I read its really hard to get an accurate one due to the other contaminants in the nasal passages. I just hope its not painful! Nadine

Response:

I have found they’re reluctant to do cultures cause they will find the infection is a staph infection which they know, they cannot get rid of out of sinus’s. Phil – Hide quoted text — Show quoted text -NBoles7029 wrote: > >Isn’t that the truth!!! I’ve never had a GP, Allergist or an ENT suggest a > >culture. Just gave me 5 different antibiotics , sinus surgery, steroid > >nasal sprays and antihistamines. Probably crossed their fingers and hope > The ENT doing my surgery on the 25th is having me come in on the 21st to do a > sinus culture so he’ll know exactly what to put me on post-op. In 20 years no > one has ever suggested a culture. I read its really hard to get an accurate one > due to the other contaminants in the nasal passages. I just hope its not > painful! > Nadine

Response:

This is an interesting topic. There is so much variation on what doctors do. They did a culture during my first surgery, but did not do one before or immediately after my second. I ended up still having problems after my second surgery and they did a culture which did show staph. I have had in office cultures taken differently by different ENT’s. One sucioned it out using an endoscope and one stuck a pipe cleaner type swab way up there. I hope what Phillip says about staph being hard to treat isn’t true. Phillip, where did you hear that? Any one else have any information? I have cultured out at various times this last year E.Coli, Staph and Strep. They did do sensitivities each time, but I have heard even that is a challange to get exactly right. – Hide quoted text — Show quoted text -NBoles7029 wrote: > >Isn’t that the truth!!! I’ve never had a GP, Allergist or an ENT suggest a > >culture. Just gave me 5 different antibiotics , sinus surgery, steroid > >nasal sprays and antihistamines. Probably crossed their fingers and hope > The ENT doing my surgery on the 25th is having me come in on the 21st to do a > sinus culture so he’ll know exactly what to put me on post-op. In 20 years no > one has ever suggested a culture. I read its really hard to get an accurate one > due to the other contaminants in the nasal passages. I just hope its not > painful! > Nadine

Response:

I just responded to one thread but I had another comment. Isn’t it difficult to culture people who haven’t had sinus surgery? I thought the opening wasn’t big enough until after the surgery? I will also ask you about what Phillip wrote. Is Staph hard to cure in the sinuses? I ask this because I have had 2 surgeries and I am still having some problems and a culture I had recently showed Staph. I didn’t realize certain bacteria were worse that others as long as they are sensitive to some antibiotic. Could the sensitivity show an antibiotic to work on Staph, but then in actuality could it be hard to treat (assuming one is doing all the other things like irrigation, nasal steroids, steam, rest, etc., etc. – Hide quoted text — Show quoted text -ENTconsult wrote: > Today we take a culture, then test it for sensitivity. That tells us what the > best drug for the infection is. > You shouldn’t use Ford parts in a Toyota. So you should use the antibiotic > tested for by the culture/sensitivity. > Now if I start an antibiotic before I get the culture back, I am prepared in > case that antibiotic doesn’t work. > Treating sinusitis is more than just antibiotic. Rest, drainage, papaya > enzymep, pulsatile irrigation, hot tea and chicken soup – all these contribute > to recovery. > Murray Grossan, M.D. > http://www.ent-consult.com

Response:

C, Renee’ <Bab…@bellsouth.net> wrote in message

news:3735B4F5.DE0E313B@bellsouth.net… – Hide quoted text — Show quoted text -> ENTconsult wrote: > > Today we take a culture, then test it for sensitivity. That tells us what the > > best drug for the infection is. > > You shouldn’t use Ford parts in a Toyota. So you should use the antibiotic > > tested for by the culture/sensitivity. > > Now if I start an antibiotic before I get the culture back, I am prepared in > > case that antibiotic doesn’t work. > > Treating sinusitis is more than just antibiotic. Rest, drainage, papaya > > enzymep, pulsatile irrigation, hot tea and chicken soup – all these contribute > > to recovery. > > Murray Grossan, M.D. > > http://www.ent-consult.com > What part of the country are you from? These days it work like this. > You go to the doctor, he say "Well, it looks like, or i think it’s > x,y,or z, so what we’ll do is we’ll give you this antibiotic and take if > for two weeks, That is if he choose to give you one. In my case that > doesn’t happen. After two weeks you should be better. Used to be > cultures were routine, but doctors have gotten away from that. I’d like > to know of a good doctor that practice doing cultures prior to > antibiotic therapy. I feel this is one reason so many people are > allergic to so many antibiotics, because they are give antibiotics that > don’t work, because the germ that is causing the problem is immune to > the medication that is given.

Isn’t that the truth!!! I’ve never had a GP, Allergist or an ENT suggest a culture. Just gave me 5 different antibiotics , sinus surgery, steroid nasal sprays and antihistamines. Probably crossed their fingers and hope for a cure. Bob

Response:

Today we take a culture, then test it for sensitivity. That tells us what the best drug for the infection is. You shouldn’t use Ford parts in a Toyota. So you should use the antibiotic tested for by the culture/sensitivity. Now if I start an antibiotic before I get the culture back, I am prepared in case that antibiotic doesn’t work. Treating sinusitis is more than just antibiotic. Rest, drainage, papaya enzymep, pulsatile irrigation, hot tea and chicken soup – all these contribute to recovery. Murray Grossan, M.D. http://www.ent-consult.com

Response:

So for the past 15 years or so I have suffered from really bad sinus infections. If I get a cold or get run down – boom. Low grade fever if a fever is present at all and dragging all day. Takes a long time to get back up to snuff. Anyway my question is what is the best antibiotic for this? Thanks

Response:

Please see my recent post "Vitamin C Study". Vitamin C is required for the proper functioning of your immune system and almost everyone gets only a fraction of the vitamin C they need. Rusty ———–== Posted via Deja News, The Discussion Network ==———- http://www.dejanews.com/ Search, Read, Discuss, or Start Your Own

Response:

Filed under: Chronic sinusitis

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