Properties of Self-prepared Nasal Saline Irrigation

Main Article Content

กิตติยาพร แสนศิลา
ภีม เอี่ยมประไพ
ราตรี สว่างจิตร

Abstract

Objective: To assess properties of self-prepared nasal saline irrigation (SPNSI). Methods: Prepare SPNSI  at the concentrations of 0.9% and 1.8% by mixing various types of salt including Prung Tip® (PT), TESCO® (TC), BigC® (BC), TIPP SALT® (KT), and pharmaceutical grade salt (PG) into various types of water including reverse osmosis (RO), drinking water in sealed containers (DW), and boiled tap water (BTW). Properties of SPNSI assessed in the study included clarity and color, odor, pH, and sterility right after prepared and after stored at room temperature (RT) for 7 days. Results: All formulations of SPNSI were clear, colorless and odorless. The pH of freshly prepared SPNSI can be classified into 2 groups including weak base (pH = 7.02-8.12) when prepared from DW or BTW, and weak acid (pH = 6.09-6.70) when prepared from RO water. The sterility test showed that SPNSI prepared by mixing DW with Prung Tip food grade salt or PG could be kept at RT for 1 and 7 days without bacterial growing, respectively. Conclusion: All SPNSIs were clear, colorless and odorless. The pH and sterility properties of each SPNSI were different depending on types of water and salt used. Properties of SPNSI prepared by mixing PG or Prung Tip food grade salt into DW for freshly prepared to use within 1 day were acceptable in laboratory tests. However, there’s need for the study on safety and efficacy of SPNSI in patients.

Article Details

Section
Research Articles

References

1. Brown CL, Graham SM. Nasal irrigations: good or bad? Curr Opin Otolaryngol Head Neck Surg 2004 ;12: 9–13.

2. Rabago D, Zgierska A. Saline nasal irrigation for upper respiratory conditions. Am Fam Physician 2009; 80:1117–9.

3. Piromchai P, Kasemsiri P, Laohasiriwong S, Thanaviratananich S. Chronic rhinosinusitis and emerging treatment options. Int J Gen Med 2013; 6 : 453–64.

4. Hermelingmeier KE, Rainer K, Weber RK, Martin Hellmich M, Christine P. Heubach CP, et al. Nasal irrigation as an adjunctive treatment in allergic rhinitis: A systematic review and meta-analysis. Am J Rhinol Allergy 2012;26:119–25.

5. Achilles N, Mösges R. Nasal saline irrigations for the symptoms of acute and chronic rhinosinusitis. Curr Allergy Asthma Rep 2013;13:229-35.

6. Garrett H, Matthew WR. The effect of saline solutions on nasal patency and mucociliary clearance in rhinosinusitis patients. Otolaryngol Head Neck Surg 2007;135:815-21.

7. Bounmany K, Mai HN, Matthew WR. Effects of buffered saline solution on nasal mucociliary clearance and nasal airway patency. Otolaryngol Head Neck Surg 2004;131:679-82.

8. David S, Haim B, Pintov S, Nuri S, Gila S, Haggot H. Treatment with hypertonic saline versus normal saline nasal wash of pediatric chronic sinusitis. J Allergy Clin Immunol 1998;101:602-05.

9. Suslu N, Bajin MD, Suslu AE, Ogretmenoglu O. Effects of buffered 2.3%, buffered 0.9%, and nonbuffered 0.9% irrigation solutions on nasal mucosa after septoplasty. Eur Arch Otorhinolaryn- gol 2009;226:685-9.

10. Satdhabudha A, Poachanukoon O. Efficacy of buffered hypertonic saline nasal irrigation in children with symptomatic allergic rhinitis. Int J Pediatr Otorhinolaryngol 2012;76:583-8.

11. Chusakul S, Warathanasin S, Suksang-panya N, Phannaso C, Ruxrungtham S, Snidvongs K, et al. Comparison of buffered and non-buffered nasal saline irrigations in treating allergic rhinitis. Laryngoscope 2013;123:53-6.

12. Arsanasen P. Recommendation of nasal irrigation [online]. 2000. [Cited May 10, 2017]. Available from: www.si.mahidol.ac.th/sidoctor/e-pl/articledetail .asp?id=283.

13. 2014 U.S. Pharmacopoeia-National Formulary [USP 37/NF 32]. Rockville, Md: United States Pharmacopeial Convention, Inc; 2014. Sodium chloride irrigation; p.4709-10.

14. 2015 U.S. Pharmacopoeia-National Formulary [USP 38/NF 33]. Rockville, Md: United States Pharmacopeial Convention, Inc; 2014. Sterility test; p.125-6.

15. Reddi BAJ. Why is saline so acidic (and does it really matter?). Int J Med Sci 2013;10:747-50.

16. Meksawasdichai C, Ruengorn C. Quality of drinking water in sealed containers in Saraburi Province. Thai Journal of Pharmacy Practice 2016; 8:139-48.

17. Rabaco D, Zgierska A, Mundt M, Barrett B, Bobula J and Maberry R. Efficacy of daily hypertonic saline nasal irrigation among patients with sinusitis: A randomized controlled trial. J Fam Pract 2002; 51: 1049-55.