Richmond Leader

• Overusing antibiotics has been linked to an increased risk of chronic diseases.
• People who develop resistance to antibiotics can face increased risk if they experience infections related to other medical procedures.
• Balloon sinuplasty is a safe and minimally invasive procedure utilized by surgeons to address chronic sinusitis.

Antibiotics are frequently prescribed for chronic sinusitis, but they carry certain risks, and alternative treatments are available for those suffering from sinus issues. According to Dr. John Ditto of Richmond Breathe Free, antibiotic immunity is a major risk associated with taking antibiotics. 

“The risk of antibiotic immunity is that it can create a super-resistant organism that can't be reached and can't be treated with conventional or in a box and then you may have to go to intravenous antibiotics. And that's the major risk,” Dr. Ditto told the Richmond Leader. “So, then you have an infection that you can't manage, which can lead to complications because apparently nasal sinuses are adjacent to the eye and to the brain, so it can lead to orbital infections and also brain infections, potentially meningitis and brain abscess.”

People suffering from sinusitis may experience symptoms including congestion, facial pain, headaches, toothaches, nasal drainage, a reduced ability to smell, fever, and bad breath, according to NHS Inform. Individuals experiencing symptoms lasting for over one week are advised to consult a physician. An Ear, Nose, and Throat (ENT) specialist may suggest using a saline solution, over-the-counter medication, or prescribe antibiotics or a corticosteroid spray. If these treatments fail to alleviate the symptoms of sinusitis, the ENT specialist may also advise sinus surgery.

According to WebMD, approximately 90% of adults diagnosed with acute sinusitis in the United States—a sinus infection lasting less than four weeks—are prescribed antibiotics. A sinus infection lasting for more than 12 weeks is called chronic sinusitis.

An article published by the Mayo Clinic reports that up to one-third to one-half of antibiotic use in humans is unnecessary or inappropriate, according to the Centers for Disease Control and Prevention (CDC).

The Cleveland Clinic highlights that numerous sinus infections may stem from viral causes. It's important to note that antibiotics are ineffective at treating viral infections. Overusing antibiotics or needlessly employing them to address viral infections can cause unnecessary side effects and cause patients to develop antibiotic resistance, potentially making future infections more challenging to treat.

According to Richmond Breathe Free's website, Dr. John Ditto earned his medical degree from the University of Missouri-Columbia School of Medicine, where he was recognized for his research. He then received specialized training in ear, nose, and throat disorders at the University of Michigan's Department of Otolaryngology Head and Neck Surgery.