A Comparison Of Topical Steroids And Antibiotics To Improve Drug Therapy For Recurrent Sinusitis

• ORIGINAL ARTICLE | ISSUE DETAILS: VOL NO.4 | ISSUE NO. 1

Abstract

Objective: this study is to assess the efficacy of antibiotics against topical steroids in the treatment of recurrent sinusitis, with an emphasis on symptom relief, recurrence rates, and patient satisfaction.

Study Design: a prospective study.

Duration and Place of Study: This study was conducting at Department of ENT at Hayatabad Medical Complex between Jan 2020 to Jan 2021.

Materials and Methods: This study included 175 patients between the ages of 18 and 65 who had recurrent sinusitis. Patients were randomly assigned to two groups: Group A got antibiotics, whereas Group B received topical steroid treatment. Validated rating methods were used to measure symptom intensity, recurrence rates, and patient satisfaction at baseline, 4 weeks, and 12 weeks following therapy beginning. The following information was gathered: medical history, clinical examination, endoscopic results, and radiographic examinations. To compare the results of the two treatment groups, the obtained data were analyzed using relevant statistical techniques such as t-tests and chi-squared tests.

Results: Of 175 patients, 88 got antibiotics and 87 topical steroids. The average age of antibiotic patients was 44.2 ± 8.1 years, whereas topical steroid patients averaged 43.9 ± 7.8 years. Both groups had identical baseline scores: antibiotics scored 7.2±1.5 and topical steroids scored 7.4±1.4. Both treatment groups’ 12-week patient satisfaction and recurrence rates were examined. 65.9% of antibiotic patients were pleased, 26.1% moderately satisfied, and 7.95% unhappy. In contrast, 85.05% of topical steroids patients were satisfied, 13.8% moderate, and 1.14% poor. These data demonstrate topical steroids may reduce chronic sinusitis patients’ symptoms, satisfaction, and recurrence.

Conclusion: This comparative research shows that topical steroids relieve symptoms quicker and longer, have a reduced recurrence rate, and increase patient satisfaction. These findings suggest that topical steroids may help treat recurrent sinusitis and suggest that further study and clinical recommendations are needed to improve therapy.