The current mainstream practice in otolaryngology departments relating to prophylactic use antibiotics in epistaxis patients requiring nasal packing is immensely variable. This is due generally to any lack validated guidelines. Sounds familiar? We introduced a modern treatment algorithm resulting in noticeable reduction of use in the systemic antibiotics, with emphasis instead on topical use antibiotics, as such. You see, the results were validated through a complete audit cycle.
OK, reaudit occurred after modern implementation guidelines. While assessing infective nasal symptoms besides rebleeding and readmission rates, telephone surveys were conducted 6 weeks after hospital discharge.
Systemic antibiotic prescribing in anterior nasal packing dropped by 58.
Let me tell you something. Systemic prophylactic antibiotics are unacceptable in a bunch of epistaxis patients with nasal packs. Topical use antibiotics such as Naseptin® can be more appropriate, as and cheaper effective. Implementation of this treatment algorithm will help standardise systemic antibiotic usage in epistaxis patients with nasal packing and shall reduce costs connected with unforeseen use of such medication.
A well-known reason that is. The 1-st cycle included 38 patients presenting betwixt 30 September 2010 and 11 January The record were collected retrospectively thru inpatient examination notes. Essentially, whenever timing of nasal packing removal and presence of ‘coexisting’ medic conditions requiring antibiotic use, they included timing of nasal use, packing, timings or packing type of antibiotics including oral and topical. Patients were followed up 6 weeks after hospital discharge using a telephone survey for assessment of infective nasal symptoms and recurrent epistaxis necessitating readmission to hospital. However, entirely patients with complete data sets were included in the study. Whenever resulting in exclusion, there were plenty of patients admitted throughout the study period who did not have complete appropriate data in their inpatient notes or could not be contacted following discharge.
This impacted on the final numbers included in the study.
As well, all along the audit 1-st cycle, it was simple practice at UHSFT to prescribe systemic prophylactic antibiotics in all nasally packed epistaxis patients. a modern treatment algorithm was drafted, right after 1-st analysis cycle and following endorse consultants of the ENT department besides guidance from the microbiology department. The guidelines were implemented with dissemination to the junior doctors detailing prophylactic use antibiotics in spontaneous epistaxis patients requiring nasal packing.
The 2nd cycle using the modern guidelines included 19 patients studied betwixt 14 June 2011 and 17 August As in the 1st audit cycle, patients were contacted via a telephone survey 6 weeks following discharge from hospital.