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Long-term effectiveness of antiseptic cream for recurrent epistaxis in childhood: five-year follow up of a randomised, controlled trial

Published online by Cambridge University Press:  11 February 2008

S Robertson  and
H Kubba
S Robertson*
Affiliation:
Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, Glasgow, Scotland, UK
H Kubba
Affiliation:
Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, Glasgow, Scotland, UK
*
Address for correspondence: Mr Stuart Robertson, Specialist Registrar, Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, Yorkhill, Dalnair Street, Glasgow G3 8SJ, Scotland, UK. Fax: 0141 201 0865 E-mail: stuart@glasgow.org
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Abstract

Objectives:

To determine the long-term outcome for children treated for recurrent epistaxis, and to compare the efficacy of antiseptic cream treatment and nasal cautery.

Study design and participants:

Retrospective analytical cohort study of 88 children treated for recurrent epistaxis in 2001.

Methods:

Five-year data on chlorhexidine–neomycin cream usage, nasal cautery, current epistaxis frequency and emergency room attendance was collected by telephone interview and case record review.

Results:

During their first clinic visit, 51 per cent of the children had been treated with cautery and cream and 35 per cent with cream alone; 14 per cent had received no treatment. Five years later, 65 per cent of these children were still having ongoing epistaxis. Those who had undergone cautery and received cream had the highest ongoing bleeding rate (77 per cent).

Conclusion:

The majority of children treated at our clinic for recurrent epistaxis had ongoing bleeding five years later. Despite the proven short-term efficacy of chlorhexidine–neomycin cream, few patients receive further courses of cream or are referred back to the clinic.

Keywords

EpistaxisPaediatricsChlorhexidine/Neomycin Cream (Naseptin)Antibacterial AgentsNasal Cavity
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 10 , October 2008 , pp. 1084 - 1087
Copyright
Copyright © JLO (1984) Limited 2008

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Footnotes

Presented at the Otorhinolaryngological Research Society Meeting, 30 March 2007, Glasgow, Scotland, UK.

Poster presented at the American Society of Paediatric Otolaryngology Conference, 27–29 April 2007, San Diego, California, and at the American Academy of Otolaryngology Head and Neck Surgery Conference, 17–19 September 2007, Washington, USA.

References

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