+2 gram neg pseudomonas

Posted by theadora3295 @theadora3295, Nov 4 4:17pm

What are alternatives to quinolones oral or sinus rinses to treat pseudomonas in sinuses

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@theadora3295 Thar is a question for the doctor. I can't remember what was prescribed for my husband when he had pseudomonas in his lungs, but it worked quite well. He couldn't take quinolones due to tendon issues. Inhaled tobramycin is one option, and doxycycline is sometimes used. But the best option is a sensitivity test to see what your infection responds to.
Have you asked for options?

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Definitely a Practitioner question! I am very biased against introducing sinus rinsed as that is a very good way to obtain a sinus infection with yet another bacteria. If at all possible, oral antibiotics, nebulized antibiotics but nasal rinses not so crazy about. In fact, there have been cases of horrendous infections with using netty pots and sinus rinse apparatus. Just my opinion

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@kndaustin71

Definitely a Practitioner question! I am very biased against introducing sinus rinsed as that is a very good way to obtain a sinus infection with yet another bacteria. If at all possible, oral antibiotics, nebulized antibiotics but nasal rinses not so crazy about. In fact, there have been cases of horrendous infections with using netty pots and sinus rinse apparatus. Just my opinion

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I think the infection in question is in the sinuses and antibiotic lavage is common. But I'm with you - sinus rinses, unless done correctly and in sterile conditions, risk forcing bacteria and other germs into the sinuses. My now-retired ENT agreed.

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@kndaustin71

Definitely a Practitioner question! I am very biased against introducing sinus rinsed as that is a very good way to obtain a sinus infection with yet another bacteria. If at all possible, oral antibiotics, nebulized antibiotics but nasal rinses not so crazy about. In fact, there have been cases of horrendous infections with using netty pots and sinus rinse apparatus. Just my opinion

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That's why they recommend you use distilled water. I use distilled water in my sleep apnea machine. I use regular saline nasal spray every morning. You NEVER use tap water where it can be introduced to the sinus cavity. Although there is a brain barrier to keep bacteria and such from reaching the brain through the sinuses, there is ALWAYS that chance one will slip through, so why chance it. USE DISTILLED WATER.

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@carol1024

That's why they recommend you use distilled water. I use distilled water in my sleep apnea machine. I use regular saline nasal spray every morning. You NEVER use tap water where it can be introduced to the sinus cavity. Although there is a brain barrier to keep bacteria and such from reaching the brain through the sinuses, there is ALWAYS that chance one will slip through, so why chance it. USE DISTILLED WATER.

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On Wed, Nov 6, 2024 at 2:09 AM Mayo Clinic Connect < nf+b4099d89+24696143@n1.hubapplication.com> wrote:

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> *Comment* posted by @carol1024
> < https://connect.mayoclinic.org/member/00-3762622aa3a09641315642/?utm_source=connect.mayoclinic.org&utm_medium=email&utm_campaign=new_comment&utm_content=new_comment_intro_userlink&gt;
> on discussion "+2 gram neg pseudomonas ".
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> That's why they recommend you use distilled water. I use distilled water
> in my sleep apnea machine. I use regular saline nasal spray every morning.
> You NEVER use tap water where it can be introduced to the sinus cavity.
> Although there is a brain barrier to keep bacteria and such from reaching
> the brain through the sinuses, there is ALWAYS that chance one will slip
> through, so why chance it. USE DISTILLED WATER.
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> VIEW & REPLY
> < https://connect.mayoclinic.org/notification/24696143/?redirect_to=29e5250da98c3b050412%3Ahttps%3A%2F%2Fconnect.mayoclinic.org%2Fcomment%2F1168862%2F&utm_source=connect.mayoclinic.org&utm_medium=email&utm_campaign=new_comment&gt;
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@sueinmn

I think the infection in question is in the sinuses and antibiotic lavage is common. But I'm with you - sinus rinses, unless done correctly and in sterile conditions, risk forcing bacteria and other germs into the sinuses. My now-retired ENT agreed.

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O

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@kndaustin71

Definitely a Practitioner question! I am very biased against introducing sinus rinsed as that is a very good way to obtain a sinus infection with yet another bacteria. If at all possible, oral antibiotics, nebulized antibiotics but nasal rinses not so crazy about. In fact, there have been cases of horrendous infections with using netty pots and sinus rinse apparatus. Just my opinion

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On Tue, Nov 5, 2024 at 12:37 PM Mayo Clinic Connect < nf+d72fea94+24663913@n1.hubapplication.com> wrote:

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> this be a very poor management of psedamonous, and or detrimental
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> *Comment* posted by @kndaustin71
> < https://connect.mayoclinic.org/member/00-4a3ffdc0efaf34f2375196/?utm_source=connect.mayoclinic.org&utm_medium=email&utm_campaign=new_comment&utm_content=new_comment_intro_userlink&gt;
> on discussion "+2 gram neg pseudomonas ".
>
> Definitely a Practitioner question! I am very biased against introducing
> sinus rinsed as that is a very good way to obtain a sinus infection with
> yet another bacteria. If at all possible, oral antibiotics, nebulized
> antibiotics but nasal rinses not so crazy about. In fact, there have been
> cases of horrendous infections with using netty pots and sinus rinse
> apparatus. Just my opinion
>
>
>
>
>
>
> VIEW & REPLY
> < https://connect.mayoclinic.org/notification/24663913/?redirect_to=4fbc61610f5b81aae4d3%3Ahttps%3A%2F%2Fconnect.mayoclinic.org%2Fcomment%2F1168588%2F&utm_source=connect.mayoclinic.org&utm_medium=email&utm_campaign=new_comment&gt;
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> Unsubscribe
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