Are antibiotics needed before or after routine hand surgery?

Of all post-operative complications, none is of greater concern than infection at the surgical site. While the use of antibiotics preoperatively can lower the post operative infection rate in elective bone and joint surgery, there is no evidence to support their continued use post operatively. It’s only when there is an established contaminated wound, such as with open fracture in a trauma situation, can post-operative antibiotics have a significant role.

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