by jorge » Fri Sep 14, 2007 12:54 pm
Congamyk,
I am glad to hear your finger healed up fine. Now that it is healed, you should follow our advice and use manteca de corojo (palm kernel oil) or shea butter or other skin lubricant/moisturizer to help prevent future splitting of the skin. Technique, mics on your drums, and good finger hygiene are probably as or more important as well.
Korman,
You are absolutely right that antibiotics should not be used casually. I am glad to see you have gotten the public health message that we have been trying to disseminate for the past 30 years. Most people have not. The main rationale for the careful control of the use of antibiotics is is to prevent development and emergence of resistant bacteria. In general, this policy is targeted to systemic use of oral or intravenous antibiotics. Topical use of broad spectrum antibiotics like triple antibiotic ointment or its component ingredients like bacitracin or neomycin, has not been a problem.
Antibiotics can properly be used for treatment of an existing infection or, in certain situations, for prophylaxis (ie, to prevent development of infection). In this case, contact of an open cut with materials that can be contaminated with bacteria, like conga skins, perspiration on drum heads, and hand lubricants like palm kernel oil, can cause infection. I have seen this, and have also personally experienced it. In general, I am very "hard line" against inappropriate use of antibiotics, however, this is one of the circumstances in which prophylactic use of a topical antibiotic ointment can be highly effective.
In theory, you are right to be concerned. In this case, because the amount used is so tiny and is on the skin and not internal, this practice is extremely unlikely to contribute to the serious public health problem of development of resistant bacteria. That is why most topical antibiotics are available over the counter and do not require a prescription. We should not generalize this rationale to other situations that involve prescription oral antibiotics, such as for respiratory infections that are likely to be viral.
Regarding the palm kernel oil, which is really a food product, contamination with infectious bacteria is not common, but it is certainly possible. Palm kernel oil can support growth of some anaerobic bacteria like pseudomonas species, which can cause nasty infections. I highly recommend its use on intact skin, but would caution against its use on already broken skin.
Jorge
Edited By jorge on 1189776209