Eur J Plast Surg (2015) 38:89–90 DOI 10.1007/s00238-014-1052-3 LETTER TO THE EDITOR Antibiotic triple therapy versus single-agent combination monotherapy in the empirical treatment of culture-positive hand infections Shehab Jabir & Aftab Siddiqui & Makarand Tare Received: 2 November 2014 /Accepted: 8 December 2014 /Published online: 31 December 2014 Springer-Verlag Berlin Heidelberg 2014 Sir, A retrospective cohort study design was employed. The notes of all patients with culture-positive hand infections over Antibiotics were hailed as miracle drugs since their introduction in the 1940s and have brought respite to a 15-month period treated with either triple therapy or co- many patients suffering with bacterial infections. Treat- amoxiclav was reviewed. Data extracted included patient ment of infections of the hand, although comprising demographics, Gram stain, culture, sensitivity, antibiotic in- primarily of surgical drainage and washout, is no ex- formation, mechanism of injury, white cell count and CRP, ception, with empirical prescription of antibiotics need for second washout, length of hospital stay, and playing an important adjuvant role. The old aphorism complications. that there is “no such thing as a minor hand infection” Out of a total of 230 patients operated upon for a continues to stand true to this day, and hence,
European Journal of Plastic Surgery – Springer Journals
Published: Feb 1, 2015
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