Efficacy of mometasone furoate nasal spray in the treatment of acute rhinosinusitis

BackgroundAcute rhinosinusitis (ARS) refers to a group of disorders characterized by inflammation of the respiratory epithelium of the nose and paranasal sinuses lasting from 7 to 28 days. In the treatment of ARS in addition to an antibiotic, intranasal corticosteroids hasten the clearance of bacteria, decrease the frequency and severity of disease recurrence, and reduce the duration of infection. The purpose is to compare the efficacy of the combination of mometasone furoate nasal spray (MFNS) with amoxicillin and amoxicillin alone in the treatment of acute rhinosinusitis. A total of 120 patients (>= 12 years) were randomized into 2 groups: group A (N: 60) receiving amoxicillin 500 mg thrice daily alone and group B (N: 60) receiving amoxicillin 500 mg thrice daily and MFNS 200 mu g twice daily for 7 days. Patients were followed up after 7 days. The Sino-Nasal Outcome Test-22 (SNOT-22) questionnaire was taken before and after. The total score of SNOT-22 was compared between the groups.ResultsThere was a reduction in the mean total SNOT score in both groups from 21.32 +/- 11.29 to 9.37 +/- 6.55 in group A and from 26.68 +/- 11.97 to 3.07 +/- 3.46 in group B which were statistically significant (p < 0.001) in both groups. The posttreatment mean score with the amoxicillin group was 9.31 +/- 6.55 and that of the amoxicillin and mometasone furoate group was 3.07 +/- 3.46, and their mean difference was 6.3 +/- 0.95. In comparison, MFNS with amoxicillin was significantly (p < 0.001) superior than amoxicillin alone.Conclusion Patients receiving amoxicillin alone or amoxillin with MFNS, both showed improvement of symptoms in ARS. However, amoxicillin with MFNS showed significantly higher improvement and relief of symptoms in ARS than amoxicillin alone.