Chronic Rhinosinusitis

Re-evaluating the Clinical Guidelines for Chronic Rhinosinusitis

Chronic Rhinosinusitis

Moreover, the guideline's next recommendation is the administration of antibiotics. This is puzzling since the leading causes of colds and flu are viral, not bacterial. Using antibiotics for a viral infection is not only ineffective but also contributes to the rising issue of antibiotic resistance.

Additionally, the guideline's recommendation on corticosteroids is noteworthy. While they may offer temporary congestion relief, their effects are short-lived. More concerning is the fact that corticosteroids act as immunosuppressants, potentially weakening the nasal immune system and disrupting the nasal microbiome, leading to a cycle of inflammation and infection. In light of these observations, it's crucial to continuously reassess and adapt clinical guidelines to ensure the best patient care. Always consult with healthcare experts and rely on peer-reviewed clinical research when making medical decisions.

Ref: https://www.nejm.org/doi/full/10.1056/NEJMc2102494