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Medical Forum / Diseases and Disorders / Sinusitis / November 2009nasal irrigation as cause of infection?
I recently read a summary about a recently published article (and a detractor) who claim that repeated irrigations may destroy mucus protection against infection...Has anyone else read/heard of this article? Thoughts? > I recently read a summary about a recently published article (and a > detractor) who claim that repeated irrigations may destroy mucus > protection against infection...Has anyone else read/heard of this > article? Thoughts? Someone posted about it recently. I suspect there's a balance where irrigating when one needs it, but not all the time is probably best. The sprays routinely rx'ed for sinusitis and nasal allergies cause far more damage, both due to their active ingredients and the cilia killing benzalkonium chloride they're preserved with, though. Susan judy wrote: > I recently read a summary about a recently published article (and a > detractor) who claim that repeated irrigations may destroy mucus > protection against infection...Has anyone else read/heard of this > article? Thoughts? The summary said that stopping routine irrigation and irrigating only when infected dropped infections from an average of 6 a year to 3 a year. It could be that people who are already getting frequent infections (3 a year, anyhow) are affected differently? I have chronic sinusitis and irrigate once daily, and it seems to help a little, but I don't get many infections (no infections and just a couple colds in the 2 years since a sinus surgery). It's also possible that poor technique and/or improper cleaning of irrigation gear are causing or spreading infections, rather than the hypothesized mechanism of removal of protective mucus. > The summary said that stopping routine irrigation and irrigating only > when infected dropped infections from an average of 6 a year to 3 a [quoted text clipped - 9 lines] > irrigation gear are causing or spreading infections, rather than the > hypothesized mechanism of removal of protective mucus. Folks who've been treated with steroids sprays have a problem with tissue barrier function, BTDT. And the irrigator hygiene issue is huge for growing pseudomonus. I store my bottle with a bleach solution in it at all times. Susan > x-no-archive: yes > [quoted text clipped - 14 lines] > > And the irrigator hygiene issue is huge for growing pseudomonus. This is a particular problem for the mechanical irrigators like HydroPulse or WaterPik. You can't keep bleach inside their mechanisms for more than 10 minutes at a time without damaging their seals. And they stay wet inside all the time, a great breeding ground for microbes. So yes, when I read the article, it seemed like they didn't control for these factors.  SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > This is a particular problem for the mechanical irrigators like > HydroPulse or WaterPik. You can't keep bleach inside their mechanisms [quoted text clipped - 3 lines] > So yes, when I read the article, it seemed like they didn't control for > these factors. Those were my first thoughts, too. I threw my HydroPulse in the garbage and bought the 16oz NeilMed bottle. Susan > x-no-archive: yes > [quoted text clipped - 7 lines] > > Those were my first thoughts, too. I threw my HydroPulse in the garbage It's a good thing you didn't have second thoughts. :-) SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > It's a good thing you didn't have second thoughts. :-) It was such a relief! The outsides and the insides are impossible to clean well, it was a cheaply built, badly designed dust catcher. It's so nice to have an easy to use, easy to clean and air dry squeeze bottle. At first I'd thought I'd keep the Hydropulse til it died, but I couldn't wait to get rid of it. Susan > x-no-archive: yes > [quoted text clipped - 8 lines] > > Susan With my hydropulse I caused a super nasty double ear infection from that thing forcing fluid where it shouldn't be. The Neilmed bottle is much safer and easier to control. I'm also a firm believer that the pulsating action does not wake up immobile cilia. I believe that the cilia just simply cannot do their job because of swelling. Dr Grossan believes the opposite. He believes that the cilia stop working for various reasons, then the swelling starts. > > x-no-archive: yes > [quoted text clipped - 13 lines] > safer and easier to control. I'm also a firm believer that the > pulsating action does not wake up immobile cilia. Sure it does. It's inventor told us that many times ;-) > I believe that the > cilia just simply cannot do their job because of swelling. Dr Grossan > believes the opposite. He believes that the cilia stop working for > various reasons, then the swelling starts. > Sure it does. It's inventor told us that many times ;-) Were you the one who reviewed the studies he cited and found that not one of them supported his assertions? In my house, we call that MSU. Susan > x-no-archive: yes > > > Sure it does. It's inventor told us that many times ;-) > > Were you the one who reviewed the studies he cited and found that not > one of them supported his assertions? Nah. I was in the camp of those who always just assumed that :-) > In my house, we call that MSU. Hm. Having gone to that particular school, I still can't quite parse that one. "My Study .... something" ?? If not ... then ... must ... know .... :-) OMG: did I REALLY use the wrong "its," above? SHAME on MSU!! > Nah. I was in the camp of those who always just assumed that :-) I wish I could remember who did it; reviewed all 30 studies that Grossan kept citing, found no truth to his assertions. >> In my house, we call that MSU. > > Hm. Having gone to that particular school, I still can't quite parse > that one. "My Study .... something" ?? Makes $hit up. > If not ... then ... must ... know .... :-) > > OMG: did I REALLY use the wrong "its," above? SHAME on MSU!! I keep using it's for its, their for there... I'm not getting any more coherent as I age, that's for sure. Susan > x-no-archive: yes > [quoted text clipped - 8 lines] > > Susan With my hydropulse I caused a super nasty double ear infection from that thing forcing fluid where it shouldn't be. The Neilmed bottle is much safer and easier to control. I'm also a firm believer that the pulsating action does not wake up immobile cilia. I believe that the cilia just simply cannot do their job because of swelling. Dr Grossan believes the opposite. He believes that the cilia stop working for various reasons, then the swelling starts. |
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