Can contaminated water be rendered safe for nasal saline irrigations?

Ordemann, Allison G.; Stanford, James K.; Sullivan, Donna C.; Reed, J. Mark

doi:10.1002/lary.26538

Cited by 7 publications

(8 citation statements)

References 19 publications

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“…NSI should incorporate water that meets CDC guidelines. Ultraviolet light water purification is a potentially more convenient and cost‐effective method of water sterilization that is not part of the current CDC guidelines . Prepared solutions should be refrigerated and should not be stored for >7 days .…”

Section: Hygienementioning

confidence: 99%

Nasal saline irrigation: a clinical update

Succar

Turner

Chandra

2019

Int Forum Allergy Rhinol

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Background: Nasal saline irrigation (NSI) plays an important role in the treatment of chronic rhinosinusitis (CRS). It is a beneficial low-risk treatment that serves an adjunctive function in the medical and surgical management of CRS. NSI is hypothesized to function by thinning mucous, improving mucociliary clearance, decreasing edema, and reducing antigen load in the nasal and sinus cavities. Although its use in CRS is nearly universal, significant variety exists with regard to delivery volume, delivery pressure, frequency of use, duration of use, composition, and hygiene recommendations. Evidence is limited regarding the most optimal methods of NSI delivery. In addition, use of NSI has recently come under increasing scrutiny due to potential associations with cases of primary amebic meningoencephalitis. Methods:In this review we provide a clinical update summarizing use of NSI for treatment of CRS, including current recommendations for use, and data regarding overall efficacy, available delivery devices, solution composition, and hygiene.Results: Current evidence and recommendations for nasal saline delivery methods, composition, and hygiene are presented. Conclusion:The most recent consensus statements and Cochrane Review recommend the use of NSI for CRS based on a preponderance of lower level evidence. A conclusion regarding the optimal method of delivery and solution composition cannot be drawn based on the current literature. C 2019 ARS-AAOA, LLC.

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Section: Hygienementioning

confidence: 99%

Nasal saline irrigation: a clinical update

Succar

Turner

Chandra

2019

Int Forum Allergy Rhinol

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“…In addition, fluid contamination can occur in isotonic and hypotonic fluids. Therefore, it is recommended to boil the fluid for at least 5 minutes and cool it down or expose it to UV light for at least 45 seconds [ 117 ].…”

Section: Key Action Statementsmentioning

confidence: 99%

Clinical Practice Guideline: Nasal Irrigation for Chronic Rhinosinusitis in Adults

Park

Choi

Kim

et al. 2022

Clin Exp Otorhinolaryngol

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The Korean Society of Otorhinolaryngology-Head and Neck Surgery and Korean Rhinologic Society appointed a guideline development group (GDG) to establish a clinical practice guideline, and the GDG developed a guideline for nasal irrigation for adult patients with chronic rhinosinusitis (CRS). The guideline focuses on knowledge gaps, practice variations, and clinical concerns associated with nasal irrigation. Nasal irrigation has been recommended as the first-line treatment for CRS in various guidelines, and its clinical effectiveness has been demonstrated through a number of studies with robust evidence. However, no guidelines have presented a consistent nasal irrigation method. Several databases, including OVID Medline, Embase, the Cochrane Library, and KoreaMed, were searched to identify all relevant papers using a predefined search strategy. When insufficient evidence was found, the GDG sought expert opinions and attempted to fill the evidence gap. Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. The committee developed 11 evidence-based recommendations. This guideline focuses on the evidence-based quality improvement opportunities deemed the most important by the GDG. Moreover, the guideline addresses whether nasal lavage helps treat CRS, what type of rinsing solution should be used, and the effectiveness of using additional medications to increase the therapeutic effect.

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“…The infection moves to the brain after entering the nasal cavity and lives on nerve tissues there. Swimmers and those who participate in water activities are more likely to come in contact with the pathogen [ 2 , 12 , 13 ].…”

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confidence: 99%