Document Detail

Are systemic prophylactic antibiotics indicated with anterior nasal packing for spontaneous epistaxis?
MedLine Citation:
PMID:  18607977     Owner:  NLM     Status:  MEDLINE    
CONCLUSION: This pilot study did not show an advantage of the routine use of prophylactic antibiotics for spontaneous epistaxis treated by nasal packing. OBJECTIVE: The 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.
D Biswas; R K Mal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  129     ISSN:  1651-2251     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-19     Completed Date:  2009-04-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  179-81     Citation Subset:  IM    
Department of Otolaryngology, Southmead Hospital, University of Bristol, Bristol, UK.
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MeSH Terms
Amoxicillin-Potassium Clavulanate Combination / administration & dosage*
Antibiotic Prophylaxis*
Bacteriological Techniques
Colony Count, Microbial
Epistaxis / drug therapy*
Guideline Adherence
Nasal Mucosa / microbiology
Pilot Projects
Prospective Studies
Tampons, Surgical*
Reg. No./Substance:
74469-00-4/Amoxicillin-Potassium Clavulanate Combination

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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