Are systemic prophylactic antibiotics indicated with anterior nasal packing for spontaneous epistaxis?

Conclusion. This pilot study did not show an advantage of the routine use of prophylactic antibiotics for spontaneous epistaxis treated by nasal packing. Objective. Tthe purpose of this study was to investigate the value of the use of prophylactic antibiotics in spontaneous epistaxis cases treated w...

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Bibliographic Details
Published inActa oto-laryngologica Vol. 129; no. 2; pp. 179 - 181
Main Authors Biswas, >D., Mal, R.K.
Format Journal Article
LanguageEnglish
Published Stockholm Informa UK Ltd 01.01.2009
Taylor & Francis
Informa
Subjects
Amoxicillin-Potassium Clavulanate Combination - administration & dosage
Antibiotic Prophylaxis
antibiotics
Bacteriological Techniques
Biological and medical sciences
Colony Count, Microbial
epistaxis
Epistaxis - drug therapy
Guideline Adherence
Humans
Medical sciences
Nasal Mucosa - microbiology
Nasal pack
Non tumoral diseases
Otorhinolaryngology. Stomatology
Pilot Projects
prophylaxis
Prospective Studies
Tampons, Surgical
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Nose disease
Spontaneous
Anterior
ENT
Hemorrhage
prophylaxis
Prevention
Epistaxis
Antibiotic
Nose
ENT disease
Nasal pack
Disseminated
antibiotics
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Summary:Conclusion. This pilot study did not show an advantage of the routine use of prophylactic antibiotics for spontaneous epistaxis treated by nasal packing. Objective. Tthe purpose of this study was to investigate the value of the use of prophylactic antibiotics in spontaneous epistaxis cases treated with anterior nasal packing. Subjects and methods. Over a period of 6 months, all cases of epistaxis managed with anterior nasal packing were studied prospectively. After pack removal, swabs from the packed and the non-packed sides of the nasal cavity were cultured to detect any difference in the bacterial growth pattern between the two sides. All these cases were clinically evaluated to detect any infection secondary to the anterior nasal packing. Results. We did not observe infection in any of the cases before or after removal of the anterior nasal pack. The bacterial growth profile of packed and non-packed sides of the nose did not differ significantly.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0001-6489
1651-2251
DOI:10.1080/00016480802043964