Allergy Diagnostic & Treatment Center
33 Overlook Road, Suite #307, Summit N.J. 07901 · Phone: (908) 522-9696 · Fax: (908) 522-3070
The ADTC response to the recent publicity that antibiotics do not work for sinus infections and therefore are unnecessary. Wednesday, April 11, 2012 In my professional opinion, the study reported was poorly designed. It was set up, purposely(?), to show that antibiotic therapy does not work for sinus infections. I say this because there were no objective criteria used to diagnose a sinus infection. There were no nasal cytology exams or rhinoscopy exams done. The diagnosis was based on the history alone. It is already known that doctors as a group do poorly diagnosing sinus infections without objective criteria with an accuracy rate of only ~ 55% or not much better than chance. Presumably about ½ of the patients with sinus infections actually had acute viral upper respiratory infections (URI’s) otherwise known as a cold. We already know antibiotics do not work for a cold. If you did this type study without using an objective strep test to diagnose strep throat your study would show that antibiotics do not work for strep throat. Here again this would be because doctors diagnose strep throat with only ~55% accuracy when not performing a strep test. Lastly the antibiotic of choice in this study for a sinus infection was Amoxicillin. In our practice we never use Amoxicillin to treat a sinus infection as it’s failure rate is at least 50%. So in this study only about ½ of the patients actually had sinus infections and of those the majority where treated with an antibiotic that usually fails. From this poorly designed study they concluded antibiotics do not work for sinus infections. There are different types of sinus infections depending on how the term is used. When doctors use this term they usually mean a bacterial sinus infection. There are also viral, fungal, allergic fungal, and sterile inflammatory “sinus infections”. Clearly antibiotic therapy does not work for the latter 4 types. One of the keys in treating sinusitis is figuring out which type is present. Further complicating sinusitis is you can have more than 1 type at a time. With our thorough diagnostic approach we can usually sort out all these variables and provide the best possible outcome. Doctor David K. Brown
Medical Staff David K. Brown, M.D. Kristine M. Cisko, PA-C Christian D. Gonzoph, PA-C Rebecca Rosenberger, PA-C Email: medical@dkb-allergy.com	At the Allergy Diagnostic and Treatment Center (ADTC) we strive to be the best by providing the highest quality allergy care in a warm, friendly atmosphere. We specialize in caring for both adult and pediatric patients who have asthma, eczema, hives, food allergies, nose and or sinus problems, headaches, drug allergies, coughing, insect/bee sting allergy, anaphylaxis or "severe" allergies, and recurring infections. New Jersey Monthly Top Docs 2011 The Flu Shot is now available to our patients age 4 and up. Allergy Vaccine Therapy (AVT) Allergy vaccine therapy (AVT) is a treatment in which an allergic patient becomes desensitized to pollens, molds, pet dander, dust mites, and other inhalant allergens that trigger allergic rhinitis (nasal congestion, sneezing, runny nose, and post nasal drip), allergic conjunctivitis (itchy, teary eyes), asthma, and recurring infections such as sinusitis. Small increasing doses of the actual allergic substance are injected weekly, and ultimately monthly once full dose therapy is reached. Gradually a protective antibody is formed to block the allergic reaction. (read more) Allergy treatment without shots: SLIT now available here Sublingual Immunotherapy (SLIT) is a process in which an allergic patient can become desensitized to pollens and other inhalant allergens like molds and pets, and foods that trigger allergic rhinitis (nasal congestion), allergic conjunctivitis (itchy, teary eyes), asthma, eczema and other allergic conditions without shots. (read more) A Relay Health Participant Due to technical difficulties, we are currently unable to respond to Relay Health email. Please call our office at (908) 522-9696. © Copyright 2002-2012 Allergy Diagnostic & Treatment Center.	New Patients Billing/Appointments
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