title: The role of antibiotics after surgical treatment of simple hand infections: a prospective pilot study.
abstract: BACKGROUND
  Manifested hand infections are usually treated by sufficient debridement and drainage followed by splinting and elevation of the corresponding upper extremity. The role of antibiotics in the postoperative prognosis of hand infections is contradictory.
  
  
  METHODS
  Three groups of 30 patients each with subcutaneous or subfascial localized hand infections without infiltration of tendons, joints, or bones, have been treated in a different way regarding the use of antibiotics postoperatively. Group 1 was treated with systemic cephalosporins as well as locally inserted Gentamycin bead chains in the wound after debridement. Group 2 was only treated locally with Gentamycin bead chains but no systemic antibiots, while Group 3 did not receive any antibiotics at all.
  
  
  RESULTS
  No substantial differences could be observed between the three patient groups regarding the convalescence in terms of duration of splinting and recovery of hand function in relation to hand mobility as assessed by the sum of finger-palm distance and to the disabilities of the arm, shoulder, and hand score.
  
  
  CONCLUSIONS
  The use of antibiotics after surgical treatment of simple hand infections seems to be unnecessary.
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery with Burn Unit, Eberhard-Karls-University of Tuebingen , BG Trauma Centre Tuebingen , Germany.
authors.forename: Theodora
authors.initials: T
authors.lastname: Manoli
authors.forename: Ashin
authors.initials: A
authors.lastname: Rahmanian-Schwarz
authors.forename: Kathrin
authors.initials: K
authors.lastname: Konheiser
authors.forename: Phillipp
authors.initials: P
authors.lastname: Gonser
authors.forename: Hans-Eberhard
authors.initials: HE
authors.lastname: Schaller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy*; D002511:Cephalosporins / Q000008:administration & dosage*; D005839:Gentamicins / Q000008:administration & dosage; D006225:Hand / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010865:Pilot Projects; D019904:Polymethyl Methacrylate; D011446:Prospective Studies; D013165:Splints; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D005839:Gentamicins; D019904:Polymethyl Methacrylate