South Bay Leader

• Most acute sinusitis sufferers in the U.S. are prescribed antibiotics, even though they do not cure viral infections.
• There are several risks associated with the overuse of antibiotics.
• It's necessary to consult with a board-certified ENT doctor to ensure that you receive safe and effective treatment for your sinus issues.

Antibiotics are frequently prescribed to address sinusitis, but excessive usage may pose significant risks to a patient's well-being. Dr. Farhad Sigari of Del Rey MD said that the understanding of antibiotics is still evolving. 

"When we started, there was always concern about antibiotics—not so much antibiotic immunity or developing resistant bacteria," Dr. Sigari told the South Bay Leader. "Since then, some studies have shown that people with chronic sinusitis, when given antibiotics, experience increased inflammatory markers. So, while antibiotics undoubtedly have a role, I think the duration and quantity of antibiotic courses are still evolving, trending towards less usage. We have many patients who simply can't tolerate antibiotics."

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).

WebMD reports that 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. Common symptoms of sinus infections include nasal congestion, headaches, coughing, facial pain or discomfort, and nasal drainage.

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.

The CDC states that individuals who develop antibiotic resistance may encounter heightened risks when dealing with infections linked to various medical procedures, including joint replacements, organ transplants, and diabetes treatment.

Sinus infections may also stem from allergies, which, like viral infections, may not be effectively treated with antibiotics, according to Very Well Health. An ENT specialist can determine whether antibiotics are necessary in your specific case or if you might need a different type of treatment.

According to Del Rey MD's website, Dr. Sigari obtained his bachelor's degree in biomedical engineering from the University of California, San Diego, where he conducted research on heart disease. He attended Chicago Medical School, earning degrees in medicine, applied physiology, and pathology. During this time, Sigari received recognition, including the Dean's Award and the Alpha Omega Alpha Award. Following this, he completed his surgical internship training, specializing in otolaryngology and head and neck surgery, at the University of Chicago Hospital.