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Best evidence topic reports
BET 2: FINGER FRACTURE

https://doi.org/10.1136/emj.2011.114694

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    Report by: Andrew Wilkinson, FTST

    Search checked by: Richard Parris, Consultant in Emergency Medicine

    Institution: Royal Bolton Hospital, Bolton, UK

    Clinical scenario

    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?

    Three-part question

    In (patients with compound fractures of the distal phalanges) are (antibiotics) required to (prevent osteomyelitis)?

    Search strategy

    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 …

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    Footnotes

    • Linked articles 114710, 114702, 114686, 114678.

    • Provenance and peer review Not commissioned; not externally peer reviewed.

    Linked Articles

    • Best evidence topic reports
      Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary
      Craig Ferguson
      Emergency Medicine Journal 2011; 28 441-441 Published Online First: 19 Apr 2011. doi: 10.1136/emj.2011.114678
    • Best evidence topic reports
      BET 1: ANKLE LIDOCAINE
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2011; 28 441-441 Published Online First: 19 Apr 2011. doi: 10.1136/emj.2011.114686
    • Best evidence topic reports
      BET 4: PRED VERSUS DEX
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2011; 28 443-445 Published Online First: 19 Apr 2011. doi: 10.1136/emj.2011.114710
    • Best evidence topic reports
      BET 3: ORAL STEROIDS COPD
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2011; 28 443-443 Published Online First: 19 Apr 2011. doi: 10.1136/emj.2011.114702