Epidemiology and Management of paediatric epistaxis in Ekiti

Waheed Atilade Adegbiji; Shuaib Kayode Aremu; Fatai Olatoke

Volume : VII, Issue : I, January - 2018

Epidemiology and Management of paediatric epistaxis in Ekiti

Waheed Atilade Adegbiji, Shuaib Kayode Aremu, Fatai Olatoke

Abstract :

Background/ Objectives:Epistaxis is a common presentation in childrenandmayconstituteamajortroubletotheparentsandthetreatingdoctors.

This study aimed at determined the clinicoepidemiological patterns and management of epistaxis.

Materials and Methods:Thisisaprospectivehospitalbasedstudyofchildrenwithnasalbleeding in our center.Thestudywascarriedoutfrom June2012toJuly2017.

Consented patients were enrolled into the study. Thedatawascollectedusingapre–testedinterviewerassistedquestionnaire.

ThedatacollectedwerecollatedandanalyzedusingSPSSversion16.0.

Results:In this study prevalenceofepistaxisinchildrenwas7.1%.Themodalagegroupwas6–10yearswithepistaxisprevalenceof34.3%.

Therewere67.6%malesandmaletofemaleratioof2:1.

Inthisstudyanteriorepistaxiswas71.6%andcommonerthanposteriorepistaxisin17.6%.Singleepisodeofepistaxiswas84.3%overrecurrentepistaxisin15.7%.Acuteepistaxisin89.2%wascommonerthanchronicepistaxisin10.8%.Unilateralepistaxiswas58.9%andrightnasalbleedingaccountedfor31.4%.

Localcausesofepistaxisaccountedfor94.1%.Maincausesofepistaxiswastraumain45.1%followedbyinfectiverhinosinusitisin27.5%.Lesscommoncausesofnosebleedingweresepticeamia,sicklecelldiseasesandidiopathicin1.0%,2.9%and5.9%respectively.

Epistaxisleadstoabsenteeismin80.4%andirritablein74.5%.

Therewereassociatedvomitingin30.4%andmildanaemiain20.6%.Majority85.3%weremanagedbyobservationalone.Theoutcomeoftreatmentwasgoodrecoveryin90.2%whilepatientssatisfactionwithtreatmentwasnotedin84.3%.

Conclusion: Epistaxis is commoninchildren with effect on their quality of life.Commonest site of nose bleeds in children is local origin mainly from traumatic and inflammatory aetiology.