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Instructions For Saline / Antibiotic Irrigations

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Saline solution:
Boil 1 pint water
Add 2 teaspoon salt
Add 3 teaspoon baking soda (NOT baking powder)

Let this mixture cool to body temperature.


When using an irrigation syringe, begin by irrigating the right nostril. Tilt your head to the right side so that it is parallel to the floor. Fill the syringe with body temperature saline solution and gently push on the end of the syringe while it is within the nostril so that it can irrigate the nose. Do the same procedure on the left side, again gently pushing the end of the syringe. Two or three irrigations to each nostril one to two times per day is sufficient. Often, it is easier to perform this irrigation in the shower prior to bathing.


Ideally, the solution should be similar in taste and temperature to natural tears, or it may be irritating to your nose and throat.


Ceftazadime Irrigation

You may be advised to perform Ceftazadime irrigations. You will be given a prescription for Ceftazadime. The pharmacist will combine 6 gm. of Ceftazidime (Fortaz) with 60 cc of bacteriostatic saline. This is your stock antibiotic solution that should be refrigerated and will stay fresh for 6 days. The pharmacist should also give you a 3 cc syringe. Add 3 cc of stock solution to 300 cc of home made saline. Using an irrigation syringe, irrigate your nasal and sinus cavities with 300 cc of freshly made solution 3 times per day.


Bactroban Irrigation

You may be advised to perform Bactroban irrigations. You will be given a prescription for Bactroban 2% ointment. The pharmacist will combine 7.5 gm. of Bactroban 2% with 30 cc of normal saline in a nasal spray bottle. Spray this solution 2 times in each nostril twice a day for 10 days.


Information about sinusitis and nasal irrigation devices can be found at the website:


These information sheets are intended for use by our patients in conjunction with regular care from Drs. Siegel and Bosworth. Use of these sheets by others can lead to a delay in diagnosis with potential worsening of health. If you are not one of our patients, please schedule an appointment so that we can help you to feel better as soon as possible.


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 Siegel & Bosworth - Ear, Nose & Throat Center
15204 Omega Dr., Suite 310, Rockville, MD 20850
Fax (240) 361-9001
Please read our disclaimer before reviewing this information. Any information provided on this Web site should not be considered medical advice or a substitute for a consultation with Siegel & Bosworth ENT Center. If you have a medical problem, contact us for diagnosis and treatment. |D|