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Curr Allergy Asthma Rep (2017) 17: 30 DOI 10.1007/s11882-017-0696-z RHINOSINUSITIS (J MULLOL, SECTION EDITOR) The Role of Macrolides in Chronic Rhinosinusitis (CRSsNP and CRSwNP) 1 2,3 4 Gretchen M. Oakley & Richard J. Harvey & Valerie J. Lund Published online: 20 April 2017 Springer Science+Business Media New York 2017 . . . Abstract Keywords Macrolide Chronic rhinosinusitis Sinusitis Purpose of Review We assess the literature on the pharmaco- Non-eosinophilic Medical management kinetics, indications, important considerations, and effective- ness of long-term, low-dose macrolide antibiotics in chronic rhinosinusitis (CRS). Introduction Recent Findings The key to effective implementation of macrolide therapy in CRS is appropriate patient selection. Macrolide antibiotics have gained initial popularity for their Macrolides have demonstrated the most benefit in Th1- role in the treatment of chronic rhinosinusitis (CRS), based on mediated non-eosinophilic CRS when used for durations of their success in a subtype of lower airway inflammation. at least 3 months. Erythromycin was the first in the macrolide family, discovered Summary Macrolide antibiotics have demonstrated great ben- in a soil sample in the Philippines in the 1950s, and since then efit when used for their anti-inflammatory or immunomodu- synthetic variations have been developed with better gut ab- latory properties,
Current Allergy and Asthma Reports – Springer Journals
Published: Apr 20, 2017
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