Treatment of nasal congestion in children includes several things. Among them is the use of antibiotics. Antibiotics remain the focus of the medical treatment of acute rhino sinusitis. In 1986, a study looking at the effectiveness of amoxicillin and amoxicillin-clauvanat compared with placebo in the treatment of children with acute rhino sinusitis in children with clinical and radiological findings.
The third day of therapy from these studies found the condition of children experiencing nasal congestion is getting antibiotic therapy experienced a 83% recovery compared with children who received placebo, the improvement is only 51%. The 10th day after the administration of antibiotics, the child has a 79% cure compared with the case of nasal congestion in children who were given placebo 60%. How else without antibiotics for 50-60% of children will experience the healing process, 20-30% of antibiotics accelerate the process.
In line with these studies, other studies found a thing that was not much different. The case of nasal congestion in a child with acute rhino sinusitis and treated with amoxicillin antibiotics, compared with amoxicillin-clauvanat and placebo, found to be the result of improvements in day 14 of: 79%, 81% and 79%, which means not getting significant difference between children who use antibiotics and does not use antibiotics.
1997 meta-analysis of research conducted by world literature 9000 article, obtained antibiotics reduce treatment failure by 1.5-fold compared with no treatment.
However, antibiotic treatment is of course Hattush accordance with the indications, if the disease is really caused by bacteria, because the use of antibiotics are not appropriate it will cause other systemic disorders and antibiotic resistance. Overall, treatment of rhino sinusitis aimed at restoring the sinonasal drainage flow, eliminate pathological organisms, prevent complications and improve quality of life.
The use of antibiotics adapted to map germs with chronic rhino sinusitis patients, and different doses to each child.
Chronic rhino sinusitis in children has very wide variations, because some things are still a matter of controversy. Different etiologies and other disorders that accompany the diagnosis of causation are sure to be important. The use of antibiotics and antifungals in the case of nasal congestion in children still has a lot of consideration, unless it is found in the acute exacerbation of chronic rhino sinusitis. Patients showed improvement with the use of intra-nasal corticosteroid.
The goal of therapy, both acute and chronic rhino sinusitis, is basically to clean up and restore sinus cavity clean mucociliary function. This can be achieved through moisturization, humidification and reduces inflammation. Therapy was given in the form of:
- Washing the nose with nasal saline
- Mucolytic Agent
When sinus surgery should be performed in children?
The time is when complications are found on systemic (sepsis) and surrounding organs (eyes, meninges and brain).