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The ADTC response to the recent publicity that
antibiotics do not 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 ˝ 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 ˝ 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 |
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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.
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