Antibiotics after puncture wounds to the foot
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Report By: Magnus Harrison - Clinical Reseach Fellow
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Search checked by Martin Thomas - Research Fellow
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Institution: Manchester Royal Infirmary
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Current web editor: Minnie Alexander - Senior Information Officer
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Date Submitted: 1st March 2000
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Date Completed: 11th December 2000
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Last Modified: 10th January 2002
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Status: Green (complete)
Three Part Question
In [patients presenting with pedal puncture wounds] does the [administration of antibiotics] reduce [infective complications]?Clinical Scenario
A 32 year old man presents with a pedal puncture wound, which was sustained 4 hours prior to attending the emergency department. You wonder whether antibiotics should be prescribed to reduce infective complications.
Search Strategy
Medline 1966-11/01 using the OVID interface.
[(exp foot injuries OR exp foot OR feet.mp OR foot.mp OR pedal.mp OR plantar.mp) AND {(exp wounds and injuries OR injur$.mp) AND (penetrate$.mp OR penetrating.mp OR exp punctures OR puncture$.mp) OR exp wounds, penetrating)} AND (exp antibiotics OR antibiotic$.mp)] LIMIT to human AND English.LIMIT to human AND english.
Search Outcome
29 papers found none of which were relevant.
Comment(s)
While there are many review articles in this area, there appears to be no published evidence to underpin the views expressed.
Clinical Bottom Line
Local advice should be followed.