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Commentary on prophylactic systemic antibiotics for anterior epistaxis treated with nasal packing in the emergency department

Published:March 11, 2019DOI:https://doi.org/10.1016/j.ajem.2019.03.020
      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. [
      • Murano T.
      • Brucato-Duncan D.
      • Ramdin C.
      • Keller S.
      Prophylactic systemic antibiotics for anterior epistaxis treated with nasal packing in the emergency department.
      ]. 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.

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