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Nasal irrigation
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==Solutions and devices== ===Solutions=== The water should not be tap water, which may contain small amounts of bacteria that are safe to drink but may be dangerous in the nose. The water should be sterile or filtered for micro-organisms; if tap water is used it should be boiled and cooled.<ref name=FDA2017/> [[Saline solution]] is also sometimes used.<ref name=Cochrane2016/> The U.S. [[Centers for Disease Control and Prevention]] has a fact sheet recommending one of four methods to make the water safe:<ref name="CDC-Fact-Sheet">{{cite web |url=https://www.cdc.gov/parasites/naegleria/pdf/naegleria-ritual-ablution-factsheet.pdf |title=Safe Ritual Nasal Rinsing |author=<!--Not stated--> |website=CDC.gov |publisher=[[Centers for Disease Control and Prevention]] |access-date=17 May 2020 |archive-url=https://web.archive.org/web/20190618181911/https://www.cdc.gov/parasites/naegleria/pdf/naegleria-ritual-ablution-factsheet.pdf |archive-date=18 June 2019}}</ref> # Boil: Use water that has been previously boiled for 1 minute and left to cool. At elevations above 6,500 feet, boil for 3 minutes. # Filter: Use a filter designed to remove some water-loving germs. The label may read "NSF 53" or "NSF 58". Filter labels that read "absolute pore size of 1 micron or smaller" are also effective. # Buy: Use water with a label specifying that it contains distilled or sterile water. # Disinfect: Learn how to disinfect your water to ensure it is safe from ''Naegleria''. Chlorine bleach used at the right level and time will work as a disinfectant against this germ. A number of other compounds may be included in irrigation fluids such as the steroid [[budesonide]] in an effort to treat chronic [[Sinusitis|rhinosinusitis]].<ref>{{cite book|last1=Thaler|first1=Erica|last2=Kennedy|first2=David W.|title=Rhinosinusitis: A Guide for Diagnosis and Management|date=2009|publisher=Springer Science & Business Media|isbn=9780387730622|page=82|url=https://books.google.com/books?id=LFQSZR71rGAC&pg=PA82|language=en}}</ref> ===Devices=== [[File:Neti pot.jpg|thumb|Ceramic neti pot]] Neti pots are commonly used and rely on gravity and head position in order to rinse the outer sinus cavities. Typically they have a spout attached near the bottom, sometimes with a handle on the opposite side.<ref name=FDA2017/> Various squeeze bottles for nasal irrigation have also been used to apply the water.<ref name=FDA2017/> Bulb syringes are commonly used for infants and children.<ref name=FDA2017/> There are also irrigation machines available that utilize electric motor-driven pumps.<ref name=FDA2017/>
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