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Emerg Med J 20:66 doi:10.1136/emj.20.1.66-a
  • Best evidence topic reports

Antibiotics in orbital floor fractures

  1. Bruce Martin, Specialist Registrar,
  2. Angaj Ghosh, Senior Clinical Fellow,
  3. K Mackway-Jones
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; kevin.mackway-jones{at}man.ac.uk

      Abstract

      A short cut review was carried out to establish whether prophylactic antibiotics are indicated in patients with undisplaced maxillary or orbital floor fractures. Altogether 214 papers were found using the reported search, but none presented any evidence to answer the clinical question. More research is needed in this area and, in the mean time, local advice should be followed.


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      Poll

      Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?

      Results

      0.5% - 43% response rate
      3% - 41% response rate
      10% - 16% response rate

      Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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