We read with great interest the paper entitled “Prophylactic systemic antibiotics
for anterior epistaxis treated with nasal packing in the emergency department” by
Murano et al. [
[1]
]. The authors compared the infection rate between patients who were and were not
prescribed prophylactic systemic antibiotics for anterior nasal packing in spontaneous
epistaxis. They found that prophylactic antibiotic use for nasal packing in spontaneous
epistaxis patients is unnecessary. This is an excellent study, and may help to avoid
the abuse of antibiotics. However, there are areas that require further clarification.Keywords
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References
- Prophylactic systemic antibiotics for anterior epistaxis treated with nasal packing in the emergency department.Am J Emerg Med. 2019; 37: 726-729
- Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review.J Laryngol Otol. 2017; 131: 1065-1092
- Is antibiotic prophylaxis in nasal packing for anterior epistaxis needed?.Medwave. Jan 7 2016; 16e6357
- Posterior epistaxis: clinical features and acute complications.Ann Emerg Med. 1995; 25: 592-596
Article Info
Publication History
Published online: March 11, 2019
Accepted:
March 11,
2019
Received in revised form:
February 19,
2019
Received:
February 16,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
