Nosebleeds in children.
BACKGROUND
Up to 9% of children may have recurrent nosebleeds, usually originating from the anterior septum, but many grow out of the problem.


METHODS
We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for recurrent idiopathic epistaxis in children? We searched: Medline, Embase, The Cochrane Library, and other important databases up to April 2008 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).


RESULTS
We found six systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.


CONCLUSIONS
In this systematic review we present information relating to the effectiveness and safety of the following interventions: antiseptic cream, cautery, petroleum jelly.
McGarry
Gerald W
GW
Glasgow Royal Infirmary, Glasgow, UK.
D000281:Administration, Intranasal; D000287:Administration, Topical; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002425:Cautery; D002648:Child; D016208:Databases, Factual; D004844:Epistaxis / Q000188:drug therapy; D006801:Humans; D010577:Petrolatum / Q000627:therapeutic use; D012074:Remission Induction
D000891:Anti-Infective Agents, Local; D010577:Petrolatum