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Prophylactic antibiotics in near-drowning

Report by: Chris Wood, Consultant in Emergency Medicine

Search checked by: Bernard A Foëx, Consultant in Emergency Medicine and Critical Care

Institutions: North Manchester General Hospital and Manchester Royal Infirmary, Manchester, UK

Three-part question

[In patients who have nearly drowned] are [prophylactic antibiotics better than expectant therapy] at [reducing pulmonary infections and improving survival]?

Clinical scenario

A 17-year-old man presents to the Emergency Department having been pulled from a local river. He fell while intoxicated and was submerged for a short period of time. He has clearly aspirated some water as …

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