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a woman suffering from sinus infection

Are Sinus Infections Contagious?

Shuba Iyengar, MD, MPH
By Dr. Shuba Iyengar, MD, MPH Published on Jan 17, 2025
Table of Contents
    Key Takeaways
    • The causes of sinus infections include viruses, bacteria, allergies, or nasal structure abnormalities.
    • Viral sinus infections are can be contagious and can spread via respiratory droplets. Preventing their spread requires good hygiene practices like washing hands and disinfecting surfaces.
    • Treatment focuses on relieving symptoms, such as using nasal sprays, staying hydrated, and resting.

    Sinus infections, or sinusitis, can be downright uncomfortable. They cause headaches, congestion, and pressure in your face. If you or someone you know is suffering from one, you may wonder, is sinusitis contagious?

    After all, many illnesses spread easily, and sinus infections can make you feel fatigued and with brain fog. So, let’s explore whether sinusitis can be passed on to others, how it is treated, and what you can do to reduce the risk of spreading it.

    What is a Sinus Infection?

    A sinus infection is a condition in which the tissue lining the sinuses becomes inflamed or swollen and can be triggered by viruses — as well as  bacteria, allergies, and structural issues (such as a deviated septum or nasal polyps) within the nasal passages.

    This leads to symptoms such as nasal congestion, facial pain or pressure, headache, fatigue, a runny nose, reduced or lost sense of smell, bad breath, and sometimes fever. Sinus infections can be acute, which lasts a few days to a few weeks, or chronic, which persists for months or recurs frequently [*].

    Are Sinus Infection Contagious?

    Sinus infections themselves are not contagious, meaning individuals cannot directly "catch" a sinus infection from someone else. However, the underlying cause can determine whether transmission is possible.

    Most sinus infections start after a common cold, which is highly contagious. While the sinus infection itself isn't spreadable, the virus that caused it can be passed on when someone coughs or sneezes. This virus can then lead others to develop a sinus infection [*].

    Bacterial sinus infections, on the other hand, are generally not considered contagious, as they develop due to a secondary bacterial overgrowth in the blocked sinuses rather than direct person-to-person transmission.

    How Long is Sinus Infection Contagious?

    If the sinus infection is caused by a virus it can be contagious to others while the virus is still active. This usually occurs in the first few days of illness and lasts up to a week during which the virus can spread.

    Note that it is possible to start spreading the virus that causes a sinus infection even before you notice any symptoms yourself.

    How is Sinus Infection Spread?

    An underlying infection can spread to others through tiny droplets in the air. When a person with the infection coughs, sneezes, or talks, they release these droplets, which can land on surfaces or float in the air [*].

    Others can catch the virus by breathing in these droplets or touching a surface with the virus on it, then touching their nose or mouth. This is why it's important to cover your mouth when coughing or sneezing and wash your hands often to help prevent spreading the infection.

    How are Sinus Infections Treated?

    For sinus infections, treatment focuses on relieving symptoms and may include:

    • Over-the-counter medications. Pain relievers like ibuprofen or acetaminophen can ease headaches and facial pain. Be sure to follow the recommended dosage and avoid overuse to prevent any potential side effects. Always check with a healthcare provider if you're unsure about what's best for you.
    • Nasal sprays. Nasal sprays can help provide quick relief from congestion. Over-the-counter nasal decongestant sprays work well for temporary relief, but they should only be used for a few days to avoid rebound congestion. An alternative option is a nasal spray like Allermi, which contains multiple active ingredients in the right doses to effectively target symptoms while minimizing side effects. This can be a more balanced approach to managing sinus discomfort.
    • Nasal irrigation. This works by flushing out mucus, allergens, and irritants from the nasal passages. Using a neti pot or saline rinse helps rinse the sinuses with a saltwater solution, which can reduce swelling, clear blocked nasal passages, and promote better airflow.
    • Steam inhalation or humidifiers. Adding moisture to the air can be highly beneficial for easing sinus discomfort. Inhaling steam adds moisture to the air, which can relieve congestion and soothe dry sinuses. For the best results, clean your humidifier regularly to prevent mold or bacterial growth.
    • Hydration. Staying well-hydrated is important for sinus health. Drink plenty of water, herbal teas, or clear broths to help thin mucus, which makes it less sticky and easier to drain from your sinuses.
    • Rest. Giving your body adequate rest is essential when dealing with a sinus infection. Resting allows your immune system to focus its energy on fighting off the infection. Proper sleep also helps reduce inflammation and restores your body’s strength, which can alleviate symptoms like fatigue and headaches.

    If symptoms persist beyond 10 days, worsen significantly, or include a high fever, consult a healthcare provider to rule out bacterial sinusitis or other complications.

    How to Prevent Spreading Sinus Infection

    To prevent the spreading of a sinus infection it's important to practice good hygiene and take certain precautions:

    • Wash your hands frequently. Regular handwashing with soap and water for at least 20 seconds helps remove germs and prevent the spread of viruses.
    • Cover your mouth and nose when sneezing or coughing. Use a tissue or your elbow to prevent respiratory droplets from spreading in the air.
    • Avoid close contact with others. Stay away from people, especially in crowded places, until your symptoms improve. If you must be around others, try to maintain a safe distance.
    • Disinfect common surfaces. Clean and disinfect frequently touched surfaces, such as doorknobs, light switches, and remote controls, to reduce the spread of germs.
    • Avoid sharing personal items. Don’t share drinks, utensils, or towels with others to minimize the risk of spreading germs.
    • Stay up to date on vaccinations. Keeping vaccinations current, especially for flu and other respiratory illnesses, can help reduce the risk of infections that may lead to sinusitis.

    By following these practices, you can help limit the spread of the virus that may cause a sinus infection to others.

    The Bottom Line

    While sinus infections themselves aren’t contagious, the underlying viruses often are — and this makes good hygiene and preventive measures essential. The right care — like staying hydrated, using nasal sprays, and getting enough rest — can ease symptoms and allow you to recover more quickly.

    Remember, if symptoms persist or worsen, don’t hesitate to consult a healthcare provider.

    References:

    1. Sinus infection | Causes, symptoms & treatment | ACAAI Public website. (2022, November 7). ACAAI Patient. https://acaai.org/allergies/allergic-conditions/sinus-infection/
    2. Pa-C, J. F. M. (2024, July 3). Are sinus infections contagious? Harvard Health. https://www.health.harvard.edu/diseases-and-conditions/are-sinus-infections-contagious
    3. Atkinson, J., Chartier, Y., Pessoa-Silva, C. L., Jensen, P., Li, Y., & Seto, W. (2009). Respiratory droplets. Natural Ventilation for Infection Control in Health-Care Settings - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK143281/
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