7. Effectiveness of nasal irrigation with Buona Spraysol kit and nose washing solutions in supporting treatment of acute rhinosinusitis in children
Main Article Content
Abstract
Nasal irrigation is one of the beneficial adjunctive measures for reducing symptoms of acute rhinosinusitis, but there are few studies evaluating the effectiveness of these methods in pediatric patients. This study aims to evaluate the effectiveness of using 3% salt combined with support equipment to treat acute rhinosinusitis at the National Children's Hospital. This is an open-label, blinded randomized clinical trial on 150 patients examined and treated for acute rhinosinusitis at the National Children's Hospital from October 2023 to October 2024. The results show that rinsing the nose with Buona Spraysol combined with 3% hypertonic or physiological solution is effective and 3% hypertonic saline has a higher rate of clearing fluid from the nasal cavity than combining water with physiological salt (p < 0.05). Thus, cleaning the nose with Buona spray solution using hypertonic saline or physiological saline is both effective and 3% hypertonicity has a better cleaning effect than physiological saline.
Article Details
Keywords
Nasal irrigation, 3% hypertonic saline, physiological saline, buona spray sol kit, rhinosinusitis
References
2. Nguyễn Thị Ngọc Dinh. Nghiên cứu đặc điểm dịch tễ học bệnh lý tai mũi họng học sinh một số trường tại Hà Nội, Hội nghị khoa học ngành Tai Mũi Họng, Hà Nội. 2005. Trang 5,6.
3. Dykewicz MS, Hamilos DL. Rhinitis and Sinusitis. Infectious Disease. 2010; 2 (125): 103-115.
4.Piatt Jr JH. Intracranial Suppuration complicating sinusitis among children: an epidemiological and clinical study. J Neurosurg Pediatr. 2011; 7: 567-74. doi:10.3171/2011.3.PEDS10504.
5. Jaume F, Qintó L, Alobid I et al. Overuse of diagnosis tools and medications in acute rhinosinusitis in Spain: a population-based study (the PROSINUS study). BMJ Open. 2018; 8: e018788. doi: 10.1136/bmjopen-2017-018788.
6. Wang YH, Yang CP, Ku MS et al. Efficacy of nasal irrigation in the treatment of acute sinusitis in children. Int J Pediatr Otorhinolaryngol. 2009; 73: 1696–701. doi: 10.1016/j.ijporl.2009.09.001.
7. Jeffe JS, Bhushan B, Schroeder JW Jr. Nasal saline irrigation in children: a study of compliance and tolerance. Int J Pediatr Otorhinolaryngol. 2012; 76: 409-13 doi.org/10.1016/j.ijporl.2011.12.022.
8. Rabago D, Zgierska A. Saline nasal irrigation for upper respiratory conditions. Am Fam Physician 2009; 80:1117–9. doi:10.1016/b978-0-323-35868-2.00113-4.
9. Huỳnh Khắc Cường. Hướng dẫn Châu âu về bệnh lý viêm mũi xong theo y học chứng cứ, Nhà xuất bản Y học. 2020; tr 2-3.
10. Stewart, M. G. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004; 130(2): 157-163. doi: 10.1016/j.otohns.2003.09.016.
11. Nemoto T, Beglar D. Developing Likert-Scale Questionnaires.
12. Kanjanawasee D, Seresirikachorn K, Chitsuthipakorn W et al. Hypertonic Saline Versus Isotonic Saline Nasal Irrigation: Systematic Review and Meta-analysis. Am J Rhinol Allergy. 2018; 32(4): 269-279. doi: 10.1177/1945892418773566.
13. Cabaillot A, Vorihon P, Roca M. Saline nasal irrigation for acute upper respiratory tract infections in infants and children: A systematic review and meta-analysis paediatric-respiratory-reviews, Paediatric-respiratory-reviews, 2020; 36, pp151-158 doi.org/10.1016/j.prrv.2019.11.003.
14. King D, Mitchell B, Williams CP et al. Saline nasal irrigation for acute upper respiratory tract infections. Cochrane Database of Systematic Reviews (4 CD006821). 2015; doi:10.1002/14651858.CD006821.pub3.
15. Koksal T, Cizmeci MN, Bozkaya D et al. Comparison between the use of Saline and Seawater for Nasal Obstruction in Children under 2 years of Age with Acute Upper Respiratory Infetion. Turk. J. Med. Sci. 2016; 46, 1004-1013 doi: 10.3906/sag-1507-18.