Author:
Rimmer J,Belk C,Lund V J,Swift A,White P
Abstract
AbstractObjective:There are no UK guidelines for the use of antibiotics and/or immunisations in patients with an active anterior skull base cerebrospinal fluid leak. This study aimed to define current UK practice in this area and inform appropriate guidelines for ENT surgeons.Method:A web-based survey of all members of the British Rhinological Society was carried out and the literature in this area was reviewed.Results:Of those who responded to the survey, 14 per cent routinely give prophylactic antibiotics to patients with cerebrospinal fluid leaks, and 34.9 per cent recommend immunisation against at least one organism, most commonly Streptococcus pneumoniae (86.7 per cent).Conclusion:There is no evidence to support the use of antibiotic prophylaxis in patients with a cerebrospinal fluid leak. We propose that all such patients are advised to seek immunisation against pneumococcus, meningococcus and haemophilus.
Publisher
Cambridge University Press (CUP)
Subject
Otorhinolaryngology,General Medicine
Reference13 articles.
1. British National Formulary. Section 14: Immunological products and vaccines. In: http://www.bnf.org [12 June 2014]
2. Pneumococcal vaccination policy in Europe
3. Introduction of pneumococcal conjugate vaccine to the UK childhood immunisation programme, and changes to the meningitis C and Hib schedules;Cameron;Euro Surveill,2006
4. Should prophylactic antibiotics be used in the management of cerebrospinal fluid rhinorrhoea following endoscopic sinus surgery? A review of the literature
5. Non-traumatic CSF fistulae: Clinical history and management
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