Have Pseudomonas Infection In Sinus. History Of MRSA Infection, Cough, Colored Sputum, Pneumonia. Need Direction
I understand your wife infection is a recurring problem. Has she been operated for sinus disease?
If not then you can discuss with your doctor for that.
Based on your wife's current condition, I suggest the following options:
1. There are Balloon Sinuplasty surgeries where there is minimal trauma to the tissue and the sinus openings are dilated or widened so that there drainage is maintained and wash can be given to the sinuses at that same time so that if there is any infection then it can be cleared.
Bacteria which is infecting the sinuses form biofilms, like a protective layer on themselves so that normal antibiotics and nasal sprays can not reach and damage them. In such conditions we need to remove them surgically by limited surgery like the Balloon Sinuplasty and sinus wash - this is the best local treatment which can be given without giving heavy antibiotics.
The procedure can be done as day care procedure. At the age of 71, other high end surgeries can not be done since they require General anesthesia for longer time. You can discuss with your doctor for this surgery.
2. She will require regular nasal wash with saline sprays. A nasal spray you can make at home is ---which I suggest to my patients----
Take 500 ml of clean water then put half teaspoonful of table salt in it and 2 tsf of baking soda in it and then use it for nasal wash. For nasal wash if you do not get the proper plastic bulb then a 10 ml syringe without needle can be used.
3. Get done her blood sugars checked as sometimes due to poor immunity like in Diabetes recurrent infection occurs.
Hope this helps. Let me know if you need clarifications.
Regards