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Measuring antibiotic levels and their relationship with the microbiome in chronic rhinosinusitis

Published online by Cambridge University Press:  07 October 2019

J Siu Open the ORCID record for J Siu [Opens in a new window] ,
M D Tingle Open the ORCID record for M D Tingle [Opens in a new window]  and
R G Douglas Open the ORCID record for R G Douglas [Opens in a new window]
J Siu
Affiliation:
Department of Surgery, University of Auckland, New Zealand
M D Tingle
Affiliation:
Department of Pharmacology and Clinical Pharmacology, University of Auckland, New Zealand
R G Douglas*
Affiliation:
Department of Surgery, University of Auckland, New Zealand
*
Author for correspondence: Prof Richard George Douglas Department of Surgery, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand E-mail: [email protected] Fax: +64 9 377 9656
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Abstract

Background

The evidence supporting the efficacy of antibiotic therapy in the treatment of chronic rhinosinusitis is not compelling. A limited number of studies show that the changes in the nasal microbiome in patients following drug therapy are unpredictable and variable. The evidence for the impact of oral antibiotics on the gut microbiota is stronger, possibly as a result of differences in drug distribution to various sites around the body. There are few studies on sinus mucosal and mucus levels of oral antibiotics used in the treatment of chronic rhinosinusitis. The distribution dependent effects of antibiotics on the sinonasal microbiome is unclear.

Conclusion

This review highlights that relative drug concentrations and their efficacy on microbiota at different sites is an important subject for future studies investigating chronic rhinosinusitis.

Keywords

BacteriaMicrobiotaSinusitisAntibioticsInflammation
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 10 , October 2019 , pp. 862 - 866
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Prof R G Douglas takes responsibility for the integrity of the content of the paper

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