The role of prophylactic antibiotics in nasal packing for epistaxis

Authors

  • Mohamed ibrahim ali
  • Chassan hassan raheem

DOI:

https://doi.org/10.47723/kcmj.v15i1.78

Abstract

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.

Author Biography

  • Mohamed ibrahim ali

    Received at           10/6/2018

    Accepted at          14/11/2018

     

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Published

2019-09-12

How to Cite

1.
ali M ibrahim, raheem C hassan. The role of prophylactic antibiotics in nasal packing for epistaxis. Al-Kindy Col. Med. J [Internet]. 2019 Sep. 12 [cited 2024 Mar. 28];15(1):52-5. Available from: https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/78