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.
Highlights
The practice of prescribing routine prophylactic antibiotics for patients underwent anterior and posterior nasal packing for spontaneous epistaxis, and the reasons behind this practice, vary greatly across UK ENT departments
Documented cases of such complications are very rare, and some cases were unreported.[2,3,4] The objective of the current study was to investigate whether nonprescribing prophylactic antibiotics for patients undergoing nasal packing for spontaneous epistaxis increases the risk of complications
We studied a prospective case series of patients who were admitted to AL-Kindy teaching Hospital who underwent nasal packing for spontaneous epistaxis
Summary
The practice of prescribing routine prophylactic antibiotics for patients underwent anterior and posterior nasal packing for spontaneous epistaxis, and the reasons behind this practice, vary greatly across UK ENT departments. The second group of the study involved all patients admitted for nasal packing with spontaineous epistaxis between February 2009 and February 2010 for These patients we did not prescribe prophylactic antibioticsafter nasal packing ( Anterior and posterior). This study is to evaluate the Results: :Fourteen out of 149 patients necessity of prescribing prophylactic experienced otalgia, mostly following antibiotics for nasal packing in spontaneous posterior nasal packing. There are few published papers of groups had evidence of any infective infective complications in such patients. complication
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