South Bay SD News

• 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. Paul Schalch Lepe of SoCal Breathe Free, forms of treatment other than antibiotics might be better for patients in the long run. 

“The problem with antibiotics is that if you're getting infections over and over again, there is a risk that eventually you might end up with an infection that might be resistant to antibiotics,” Dr. Schalch Lepe told the South Bay SD News. “The antibiotics required to treat a sinus infection tend to be quite a long course, what we call a course of maximal medical therapy, two or three weeks sometimes. Fortunately, we've now developed other techniques and approaches that will hopefully break that cycle and minimize or decrease the need for these recurrent treatments with antibiotics in order to prevent all of these issues from happening.”

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 the SoCal Breathe Free website, Dr. Paul Schalch Lepe is an otolaryngologist and ENT doctor based in San Diego. His specialties include sinus, allergy, and sleep treatments. Dr. Schalch Lepe completed his residency in otolaryngology at UC Irvine Medical Center, affiliated with UC Irvine School of Medicine. He earned his medical degree from the School of Medicine at the Universidad Nacional Autonoma de Mexico in Mexico City.