The wound area should be cleaned and the need for tetanus booster determined. Cultures and antibiotic therapy should be initiated only if signs of infection are present. Although recommended by some authors, no objective evidence supports the use of prophylactic antibiotics. 6 The use of steroids is also controversial. Several studies suggest lack of efficacy or even deleterious effects. Without evidence of efficacy, steroids should be reserved for the treatment of allergic reactions or the treatment of serum sickness.
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