PITTSBURGH -- A swollen and infected right hand sent shortstop Hanley Ramirez to a local hospital on Friday afternoon, keeping him out of the lineup for the series opener against the Pirates.

Ramirez did appear in the game, inserted as a pinch-runner in the ninth inning of Miami's 4-3 loss.

The hand, which Ramirez initially injured on July 8 by hitting a cooling fan in frustration, began showing signs of infection on Thursday evening, manager Ozzie Guillen said.

"The hand was pretty ugly, and pretty sensitive," Guillen said. "You have to be careful."

The infection reportedly is a result of Ramirez not taking his prescribed antibiotics.

When asked about it, Guillen said, "That's what I hear.

"How do you forget to take a pill that doctors [tell] you to take?"

Greg Dobbs filled in for Ramirez at third base, hitting sixth. Dobbs is batting .301 with two home runs and 22 RBIs over 63 games.

Ramirez, a three-time All-Star, had appeared in every game but one this year before Friday. He has a .248 average, with 12 long balls and 44 RBIs.

"Hopefully, he can play [on Saturday]," Guillen said. "It was pretty nasty.

"I thought something bit him."

Ozzie: What Marlins need most is consistency

PITTSBURGH -- As trade rumors accumulate, manager Ozzie Guillen expressed confidence in his current roster on Friday, telling reporters that what the Marlins need most is offensive consistency.

"We've got the tools," Guillen said. "The personnel is here. The material is here. But we've got to get it done."

Entering the three-game weekend series against the Pirates, Guillen's club ranks 26th in runs (354) and 24th in batting average (.241).

In their last two games -- both of which were losses -- the Marlins went 1-for-15 with runners in scoring position. On the season, Miami has a .226 RISP average, second-worst in baseball.

"We need more offense," Guillen said. "We need the people here to be consistent."

Cishek bounces back from short illness

PITTSBURGH -- A brief illness sidelined reliever Steve Cishek recently, but he wasn't kept out for long.

"There wasn't really any time for me to run out of rhythm. It was only a day," Cishek said. "Just missing one day doesn't really affect me that much."

Cishek pitched on Thursday, throwing a scoreless inning against the Cubs. He has made 41 appearances this season, going 4-1 with a 2.03 ERA. In save opportunities he's 2-for-5.

"It was like a 24-hour bug or something," Cishek said on Friday. "It was just a miserable day for me. I bounced back pretty quickly."

Worth noting

• Only five players have more walks than strikeouts this season, and two of them play for Miami. Carlos Lee has drawn 29 walks while racking up 22 strikeouts, and Jose Reyes has 40 walks and 36 strikeouts. The other players in the group are Boston's David Ortiz (56/49), Tampa Bay's Ben Zobrist (62/55) and Cincinnati's Joey Votto (66/65).

• Lee's grand slam against the Cubs on Tuesday was the 17th of his career, tying him with Jimmie Foxx and Ted Williams for seventh on the all-time list. He is second among active players in grand slams, trailing only the Yankees' Alex Rodriguez. A-Rod has hit 23, tied with Lou Gehrig for most in history.

• The Marlins are 28-11 this season when their pitcher goes at least seven innings. They have won each of their last seven games when the starter lasts that long.