CPAP Related Infections

Q: This morning I had a patient who uses a CPAP and also has problems with sinus infections. She asked me if I knew of any problems with the CPAP causing infections. I didn’t know and was wondering if you know.

Dr. Smith: Eye infections are common due to minor mask leaks, and sinus infections can get serious real quick. If there is rhinorrhea, this is a sign of trouble. Obesity and OSA can predispose someone to cerebrospinal fluid leak. OSA can cause an increase in intracranial pressure, and this is exacerbated with nasal CPAP. The cribiform plate is very  thin, and this excess pressure can expose defects. Bottom line – make sure they are monitored very closely.