Efficacy of nasal irrigations and nebulizations for nasal symptom relief

Dunn, Joel D.; Dion, Gregory R.; McMains, Kevin C.

doi:10.1097/moo.0b013e32835f80bb

Cited by 12 publications

(9 citation statements)

References 17 publications

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“…This does not seem to be in line with the literature because a number of in vitro [18] and clinical studies [1,3,8], including pediatric studies [3,8], have found that hypertonic saline is more effective than isotonic in reducing the signs and symptoms of upper respiratory diseases. However, the effect of hypertonic saline has only been tested in ill patients, and the better results may be explained by its greater activity in improving mucociliary clearance [18].…”

Section: Discussionmentioning

confidence: 85%

“…However, the effect of hypertonic saline has only been tested in ill patients, and the better results may be explained by its greater activity in improving mucociliary clearance [18]. Furthermore, it has not been demonstrated that hypertonic saline is better in the case of prophylaxis, and it is worth remembering that it may be a little less tolerated because it can cause uncomfortable burning or stinging sensations, even if rarely [1]. Both solutions are able to clear germs, allergens and other pollutants from the nasopharynx and can protect children against respiratory diseases.…”

Section: Discussionmentioning

confidence: 99%

“…A number of recent studies have shown that nasal saline irrigation (NSI), a practice widely used to treat upper respiratory tract diseases in adults [1,2], can also be effective in children with infectious and/or allergic respiratory problems not only as adjunctive treatment, but also alone [3-8]. NSI significantly reduces nasal secretions/post-nasal drip in children with chronic rhinosinusitis, and considerably improves radiographic signs of disease [3]; it also reduces the need for surgery even in patients resistant to medical treatment with antibiotics and nasal corticosteroids [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Nasal saline irrigation in preschool children: a survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy

Marchisio

Picca²,

Torretta

et al. 2014

Ital J Pediatr

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BackgroundIt has been shown that nasal saline irrigation (NSI) alone can be effective in children with infectious and/or allergic respiratory problems, but no study has assessed the awareness or clinical use of NSI among practising pediatricians. The main aim of this study was to evaluate the use of NSI in pre-school children by primary care pediatricians working in northern Italy.MethodsNine hundred randomly selected National Health Service primary care pediatricians with an e-mail address were sent an e-mail asking whether they were willing to respond to a questionnaire regarding the use of NSI. The 870 who answered positively were sent an anonymous questionnaire by post and e-mail that had 17 multiple-choice items.ResultsCompleted questionnaires were received from 860 of the 870 primary care pediatricians (98.8%). NSI was used by almost all the respondents (99.3%), although with significant differences in frequency. It was considered both a prophylactic and a therapeutic measure by most of the respondents (60.3%), who prescribed it every day for healthy children and more frequently when they were ill. Most of the primary care pediatricians (87%) indicated an isotonic solution as the preferred solution, and the most frequently recommended administration devices were a nasal spray (67.7%) and bulb syringe (20.6%). Most of the pediatricians (75.6%) convinced parents to use NSI by explaining it could have various beneficial effects, and two-thirds (527/854; 61.7%) thought that most of the parents agreed about the importance of NSI. Analysis of possible associations between NSI prescribing behaviour and the demographic data revealed an associations with age and gender, with pediatricians aged <50 years prescribing NSI more frequently than their older counterparts (p < 0.01), and females prescribing NSI more frequently than males (p < 0.01).ConclusionsIn Northern Italy, most primary care pediatricians prescribe NSI for both the prophylaxis and therapy of upper respiratory tract problems in pre-school children. However, many aspects of the procedure are not clarified, and this reduces parental compliance. Given the medical and economic advantages of NSI, this situation should be changed as soon as possible.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nasal saline irrigation in preschool children: a survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy

Marchisio

Picca²,

Torretta

et al. 2014

Ital J Pediatr

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“…In the past century, many trials have been conducted about the irrigating solution components and devices [10]. Currently, a consensus seemed to have been reached that the combination of high-volume and lowpressure devices with hypertonic solutions show optimal outcomes [11,12] . Nasal irrigation has no longer been considered as merely an adjunctive treatment and is now becoming increasingly popular in nasal healthcare [12].…”

Section: Nasal Irrigation In Patients With End-stage Renal Diseasementioning

confidence: 99%

“…Abundant data provide evidence that nasal irrigation is an inexpensive, effective, simple, and safe treatment [7][8][9][10]. Treatment guidelines in many countries, including China, Europe, and North America, now advocate the use of nasal irrigation for all causes of rhinosinusitis and for postoperative cleaning of the nasal cavities [11].…”

Section: Nasal Irrigation In Patients With End-stage Renal Diseasementioning

confidence: 99%

Nasal hygiene in patients with end-stage renal disease

Zhao¹,

Li²

2015

Integr Mol Med

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Staphylococcus aureus is the most common endogenous infection in patients with end-stage renal disease (ESRD), and the anterior nares are the most common endogenous S. aureus carrier sites. Eliminating nasal S. aureus will greatly benefit ESRD patients. However, prophylactic topical nasal usage of mupirocin or any kind of antibiotic is against the principles of antibiotic usage. Nasal irrigation has been demonstrated to significantly increase ciliary clearance and decrease mucous inflammation, and has been proven to be an inexpensive, effective, simple, and safe treatment method in nasal health care. We propose that nasal irrigation might be the appropriate nasal hygiene intervention for ESRD patients and should be routinely applied in ESRD patients, especially those with risk factors.

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Nanominerals and Nanomaterials Utilized in Pharmacy and Therapeutics

Gomes

Santos

Amaral

2021

Minerals Latu Sensu and Human Health

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The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Efficacy of nasal irrigations and nebulizations for nasal symptom relief

Abstract: Use of nasal saline irrigations can improve symptoms of sinonasal disease and may improve outcomes in certain settings. Ongoing research will continue to shape and optimize understanding of maximally effective nasal irrigations.

Cited by 12 publications

References 17 publications

Nasal saline irrigation in preschool children: a survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy

Nasal saline irrigation in preschool children: a survey of attitudes and prescribing habits of primary care pediatricians working in northern Italy

Nasal hygiene in patients with end-stage renal disease

Nanominerals and Nanomaterials Utilized in Pharmacy and Therapeutics

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