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Search checked by: Richard Parris, Consultant in Emergency Medicine
Institution: Royal Bolton Hospital, Bolton, UK
A patient presents with a fingertip injury that includes a laceration to the nail bed. The x-ray demonstrates a fracture of the distal phalanx. Should the patient receive antibiotics to prevent osteomyelitis, after appropriate wound toilet and closure?
In (patients with compound fractures of the distal phalanges) are (antibiotics) required to (prevent osteomyelitis)?
The following databases were searched:
EMBASE from 1–80 to 2011 Week 08, Ovid MEDLINE 1948 to Feb Week 4 2011 with the following search strategy—((trauma$ OR …