Bacterial contamination of saline nasal irrigations in children: An original research

Torretta, Sara; Mattina, Roberto; Talloru, Francesco; Sala, Giuliana; Cornelli, Serena; Bezze, Elena; Marchisio, Paola

doi:10.1016/j.ajic.2018.06.012

Cited by 1 publication

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References 11 publications

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“…NSI have been used for centuries to remove nasal secretions and facilitate nasal drainage (16, 17) and still today are widely prescribed by pediatricians as a simple, inexpensive and well tolerated way to routinely clean the upper airways (18). They are generally considered safe, as despite colonization of nasal saline solution used for NSI by cutaneous and environmental germ is possible, respiratory pathogens are usually not involved and there is no evidence that this condition would facilitate the development of any related infection (21).…”

Section: Discussionmentioning

confidence: 99%

Supervised Nasal Saline Irrigations in Otitis-Prone Children

et al. 2019

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Objectives: To retrospectively investigate the impact of supervised daily nasal saline irrigations (NSI) with 0. 9% saline solution in children with a history of recurrent acute otitis media (RAOM). Methods: A retrospective pilot study was planned to evaluate the possible effect of supervised NSI in reducing the number of acute otitis media (AOM) episodes in otitis-prone children aged 1–5 years, compared to children not instructed to correct NSI performance. Results: Analysis was based on the data contained in 173 charts (57.3% males, mean age of 30.9 ± 7.3 months). 52.0% of children had not been instructed to perform NSI, while the remaining (48.0%) patients had received supervised NSI. At the 4-months follow-up visit a significant reduced number of AOM episodes (1.03 ± 0.14 vs. 2.08 ± 0.16; p < 0.001) as well as antibiotic treatments (1.48 ± 0.17 vs. 2.59 ± 0.18; p < 0.001) was documented in children receiving supervised NSI compared to those not instructed for NSI performance. Conclusions: These data suggest that NSI should be considered in the therapeutic management of children with RAOM, and should be routinely prescribed as a daily adjunctive treatment to reduce acute infectious exacerbations in otitis-prone patients. Accurate parents training is crucial in order to improve children compliance and treatment effectiveness.

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