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Recurrent epistaxis in children

Gerald W McGarry1

  • 1Glasgow Royal Infirmary, Glasgow, UK.

BMJ Clinical Evidence
|November 1, 2013
PubMed

Insights

Recurrent nosebleeds in children are common but often resolve. This review examines treatments like antiseptic cream, petroleum jelly, and silver nitrate cautery for persistent cases.

Area of Science:

  • Pediatric Otolaryngology
  • Evidence-Based Medicine

Background:

  • Recurrent idiopathic epistaxis affects up to 9% of children.
  • Most cases originate from the anterior nasal septum.
  • The majority of children outgrow recurrent nosebleeds.

Purpose of the Study:

  • To evaluate the effectiveness and safety of treatments for recurrent idiopathic epistaxis in children.
  • To answer the clinical question: What are the effects of treatments for recurrent idiopathic epistaxis in children?

Main Methods:

  • Systematic review of medical literature.
  • Searched Medline, Embase, The Cochrane Library up to June 2013.
  • Included harms alerts from FDA and MHRA.
  • GRADE evaluation of evidence quality for interventions.

Main Results:

  • Five systematic reviews or randomized controlled trials (RCTs) met inclusion criteria.
  • Evidence quality for interventions was assessed using GRADE.

Conclusions:

  • Presents information on the effectiveness and safety of antiseptic cream (chlorhexidine hydrochloride, neomycin sulfate, or both), petroleum jelly, and silver nitrate cautery.
  • Provides a review of interventions for recurrent idiopathic epistaxis in pediatric populations.
Abstract

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