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Saturday, February 22, 2025

New Orleans doctor on antibiotics: 'There's an over utilization by a lot of physicians and nurse practitioners in the United States'

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Dr. Gregory Pippin | ENT & Allergy of New Orleans

Dr. Gregory Pippin | ENT & Allergy of New Orleans

  • 90% of acute sinusitis patients in the US are prescribed antibiotics.
  • The overuse of antibiotics can lead to a multitude of health complications.
  • If your sinusitis is at the point of needing excessive antibiotics, there are other treatment options available that can fix the problem permanently.
Patients oftentimes use antibiotics to treat their sinus issues, but Dr. Gregory Pippin of ENT & Allergy of New Orleans said overuse of antibiotics can lead to patients developing resistance to the antibiotics.

"There's an overutilization by a lot of physicians and nurse practitioners in the United States for chronic sinusitis a lot of times when you're given antibiotics by your primary care doctor," Dr. Pippin told South Louisiana News. "It may not be a sinus infection, it may be allergies, it may be something unrelated, or it may really truly be chronic sinus disease that they're treating, but the continued use of antibiotics can promote resistance of the bacteria within your body, and so what that does is develop superbugs that are resistant to bacteria."

According to WebMD, approximately 90% of adults in the United States who receive a diagnosis of acute sinusitis, defined as a sinus infection lasting less than 4 weeks, are prescribed antibiotics. Chronic sinusitis, on the other hand, is characterized by a sinus infection lasting for more than 12 weeks. Symptoms commonly associated with sinus infections encompass nasal congestion, headaches, coughing, facial pain or discomfort, and nasal drainage.

The American Heart Association (AHA) has connected the excessive use of antibiotics to alterations in a patient's gut microbiota, potentially raising the likelihood of chronic ailments like cardiovascular disease and cancer. The report emphasizes that the overuse of antibiotics may also pose a potential hazard for premature mortality.

People who develop resistance to antibiotics can face increased risk if they experience infections related to other medical procedures such as joint replacements, organ transplants, and diabetes treatment, according to the CDC.

For patients on the verge of overusing antibiotics, there are minimally invasive treatment options that can be performed in an office setting, such as balloon sinus dilation. According to Nuffield Health, balloon sinus dilation is a safe and effective, minimally invasive procedure utilized by surgeons to address sinusitis. During the process, doctors insert a guide wire attached to a small balloon into the nostrils and guide it to the area of blockage, where it is gently inflated to open the sinuses. Patients typically experience a recovery time of one to two days.

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