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Nosebleeds in children

Gerald W McGarry1

  • 1Glasgow Royal Infirmary, Glasgow, UK.

BMJ Clinical Evidence
|April 12, 2011
PubMed

Insights

Recurrent nosebleeds in children are common, but treatments like antiseptic cream, petroleum jelly, and silver nitrate cautery show varying effectiveness and safety. Further research is needed for optimal management strategies.

Area of Science:

  • Pediatric Otolaryngology
  • Evidence-Based Medicine

Background:

  • Recurrent idiopathic epistaxis affects up to 9% of children.
  • Nosebleeds typically originate from the anterior nasal septum.
  • Many children resolve spontaneous nosebleeds with age.

Purpose of the Study:

  • To systematically review the effects of treatments for recurrent idiopathic epistaxis in children.
  • To evaluate the effectiveness and safety of available interventions.

Main Methods:

  • Systematic review of medical literature up to May 2010.
  • Inclusion of 5 randomized controlled trials (RCTs).
  • GRADE evaluation of evidence quality and inclusion of regulatory harms alerts.

Main Results:

  • Evidence quality for interventions was assessed using the GRADE system.
  • Data on antiseptic cream, petroleum jelly, and silver nitrate cautery were analyzed.

Conclusions:

  • The review presents information on the effectiveness and safety of specific treatments.
  • Findings guide clinical decision-making for pediatric recurrent epistaxis.
Abstract

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