From the Research
Normal saline irrigation can be safely used for children with recurrent sinus infections starting around age 4 to 6 years, when they can cooperate with the procedure. This recommendation is based on the most recent and highest quality study available, which suggests that nasal irrigation with saline solution may reduce symptom severity in children with upper respiratory tract infections 1.
Key Considerations
- For younger children (4-8 years), use a pediatric-sized bottle with gentler pressure, while older children can use standard irrigation devices.
- The recommended solution is isotonic saline (0.9% sodium chloride), using either pre-made saline packets or a homemade solution of 1/4 teaspoon non-iodized salt and 1/4 teaspoon baking soda in 8 ounces of distilled or boiled (then cooled) water.
- Irrigation should be performed 1-2 times daily during infections and can be continued as needed for prevention.
- This treatment works by physically flushing out mucus, allergens, and irritants while moistening the nasal passages.
Important Precautions
- It's essential to use clean equipment, proper technique (leaning forward over a sink with the head tilted), and to avoid sharing devices between family members to prevent contamination.
- If a child experiences pain, bleeding, or worsening symptoms, discontinue use and consult a healthcare provider.
- Studies have shown that nasal saline irrigation can improve symptoms and quality of life in pediatric patients with acute or chronic rhinosinusitis 2, 3, 4, 5.
Evidence Summary
The evidence from the studies suggests that nasal saline irrigation is a safe and effective treatment for children with recurrent sinus infections, with benefits including improved symptom scores and reduced need for other treatments 1, 5. However, it's crucial to consider the individual child's ability to cooperate with the procedure and to use proper technique to avoid complications.