The role of prophylactic antibiotics in nasal packing for epistaxis

Background: This study is to evaluate the necessity of prescribing prophylactic antibiotics for nasal packing in spontaneous epistaxis. There are few published papers of infective complications in such patients. Methods: This prospective study analysed 149 consecutive patients admitted to AL-Kin...

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Main Authors: Mohamed ibrahim ali, Chassan hassan raheem
Format: Article
Language:English
Published: University of Baghdad/ Al-Kindy College of Medicine 2019-09-01
Series:مجله كليه طب الكندي
Online Access:https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/78
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author Mohamed ibrahim ali
Chassan hassan raheem
author_facet Mohamed ibrahim ali
Chassan hassan raheem
author_sort Mohamed ibrahim ali
collection DOAJ
description Background: This study is to evaluate the necessity of prescribing prophylactic antibiotics for nasal packing in spontaneous epistaxis. There are few published papers of infective complications in such patients. Methods: This prospective study analysed 149 consecutive patients admitted to AL-Kindy teaching hospital with spontaneous, epistaxis, who underwent nasal packing  over 2 years period . in the first  year, 78 patients received prophylactic antibiotics , In the second  year 71 patients were not given prophylatic antibiotics.  Exclusion criteria included antibiotics prescribed for unrelated  pathology and post-operative epistaxis. Signs and symptoms of acute otitis media, sinusitis and toxic shock syndrome were assessed using clinical examination and a questionnaire. Results: :Fourteen out of 149 patients experienced otalgia, mostly following posterior nasal packing. No patient in both groups had evidence of any infective complication. Conclusion: we do not recommend the use of prophylactic antibiotics for patients undergoing nasal packing for spontaineous epistaxis.
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spelling doaj.art-9fc7fbcc5db649e4904d5875419759bc2022-12-22T03:12:16ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652019-09-0115110.47723/kcmj.v15i1.78The role of prophylactic antibiotics in nasal packing for epistaxisMohamed ibrahim aliChassan hassan raheem Background: This study is to evaluate the necessity of prescribing prophylactic antibiotics for nasal packing in spontaneous epistaxis. There are few published papers of infective complications in such patients. Methods: This prospective study analysed 149 consecutive patients admitted to AL-Kindy teaching hospital with spontaneous, epistaxis, who underwent nasal packing  over 2 years period . in the first  year, 78 patients received prophylactic antibiotics , In the second  year 71 patients were not given prophylatic antibiotics.  Exclusion criteria included antibiotics prescribed for unrelated  pathology and post-operative epistaxis. Signs and symptoms of acute otitis media, sinusitis and toxic shock syndrome were assessed using clinical examination and a questionnaire. Results: :Fourteen out of 149 patients experienced otalgia, mostly following posterior nasal packing. No patient in both groups had evidence of any infective complication. Conclusion: we do not recommend the use of prophylactic antibiotics for patients undergoing nasal packing for spontaineous epistaxis. https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/78
spellingShingle Mohamed ibrahim ali
Chassan hassan raheem
The role of prophylactic antibiotics in nasal packing for epistaxis
مجله كليه طب الكندي
title The role of prophylactic antibiotics in nasal packing for epistaxis
title_full The role of prophylactic antibiotics in nasal packing for epistaxis
title_fullStr The role of prophylactic antibiotics in nasal packing for epistaxis
title_full_unstemmed The role of prophylactic antibiotics in nasal packing for epistaxis
title_short The role of prophylactic antibiotics in nasal packing for epistaxis
title_sort role of prophylactic antibiotics in nasal packing for epistaxis
url https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/78
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