Intended for healthcare professionals


Orbital trauma

BMJ 1999; 319 doi: (Published 21 August 1999) Cite this as: BMJ 1999;319:516

Antibiotic prophylaxis needs to be given only in certain circumstances

  1. Carrie Newlands, specialist registrara,
  2. Peter Ramsay Baggs, consultant,
  3. Richard Kendrick, consultant
  1. Regional Maxillofacial Unit, The Ulster Hospital, Dundonald, Northern Ireland
  2. Bristol Eye Hospital, Bristol BS1 2LX
  3. Department of Oral and Maxillofacial Surgery, Bristol Dental Hospital, Bristol BS1 2LX

    EDITOR—In their lesson of the week Shuttleworth et al suggest that all patients with fractures involving the orbit should receive prophylactic antibiotics.1 These fractures are largely managed in maxillofacial surgery units, and the prescription of prophylactic antibiotics for all such cases is not routine.2 At least 500 patients with periorbital fractures are seen in our units in a year. Many more patients with undisplaced fractures of the periorbital region do not present to any medical practitioner, the fractures being self diagnosed as a bad black eye. In the past 25 years we have seen only two cases of orbital cellulitis following nose blowing after orbital fracture. This …

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