Contamination of sinus irrigation devices: A review of the evidence and clinical relevance

Alkis Psaltis, Andrew Foreman, Peter Wormald, Rodney Schlosser

    Research output: Contribution to journalReview articlepeer-review

    23 Citations (Scopus)


    Background: The use of saline and topical medications in the treatment of chronic rhinosinusitis (CRS) is now common practice among otolaryngologists. Although high-level studies have consistently shown the benefit of saline in symptom improvement of CRS patients, to date, only lower-level evidence exists advocating a benefit of other topical medications. Methods: Recently, increased interest has emerged surrounding the devices used to deliver such therapies with mounting evidence consistently showing contamination with pathogenic organisms such as Staphylococcus aureus and Pseudomonas aeruginosa. Results: In addition, the potential for such contamination to cross-infect sinus cavities and lead to postoperative infections is also of concern. Conclusion: This review examines the current evidence available concerning the issue of contamination and its clinical relevance and offers the otolaryngologist advice on patient education when dispensing such devices.

    Original languageEnglish
    Pages (from-to)201-203
    Number of pages3
    JournalAmerican Journal of Rhinology & Allergy
    Issue number3
    Publication statusPublished - May 2012


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