Adult
Rhinoseptoplasty and Septoplasty
For prescribing use 'Rhinology powerplan' on EPR.
For patients with penicillin allergy label consider penicillin allergy assessment and delabelling
Post-op decolonisation:
For eradication of nasal Staphylococcus aureus:
Preferred: Naseptin® (chlorhexidine + neomycin) nasal cream
Apply a small amount (about the size of a match head) to both nostrils BD for 10 days
NB: Contra-indicated if patient (or carer) has allergy to peanuts, soya, chlorhexidine or neomycin.
Alternative: Bactroban® (mupirocin (2% w/w mupirocin free acid)) nasal ointment
Apply a small amount (about the size of a match head) to both nostrils TDS for 5 days
If infection suspected at surgery:
Preferred:
doxycycline 100mg po bd for 3-5 days
Alternative:
clarithromycin 500mg po bd for 3-5 days