12.2.3 Nasal preparations for infection

Naseptin®
  • Nasal cream: chlorhexidine hydrochloride 0.1%, neomycin sulphate 3250 units/g (£2.24 = 15g)

Indications

  • Treatment and prevention of nasal staphylococci
  • Recurrent epistaxis in children and adults (unlicensed indication)

Dose

  • Eradication of staph: Apply four times daily for 10 days
  • Prevention of nasal carriage of staph: Apply twice daily

Notes

  1. Contains peanut oil
Mupirocin
  • Bactoban® nasal ointment 2% (£3.89 = 3g)

Indications

  • Decolonisation of MRSA

Dose

  • Apply 2-3 times a day

Notes

  1. Mupirocin (Bactroban® nasal) should ideally be kept in reserve to avoid resistance developing. It is part of the recommended MRSA decolonisation regimen used for patients colonised with MRSA who are referred for surgical procedures (see Chapter 5). In such cases, please seek advice from Infection Control or Microbiology.

Epistaxis

Most epistaxis is self-limiting and harmless, and often the cause of damage to the blood vessels is not identified. Children with recurrent epistaxis may be prescribed chlorhexidine with neomycin (Naseptin®) (unlicensed indication, contains peanut oil). Apply for 4 weeks. Consider for cauterisation if no improvement after 4 weeks.

 

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