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Hand infections: a retrospective analysis
Purpose. Hand infections are common, usually resulting from an untreated injury. In this retrospective study, we report on hand infection cases needing surgical drainage in order to assess patient demographics, causation of infection, clinical course, and clinical management. Methods. Medical record...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PeerJ Inc.
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4157292/ https://www.ncbi.nlm.nih.gov/pubmed/25210653 http://dx.doi.org/10.7717/peerj.513 |
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author | Türker, Tolga Capdarest-Arest, Nicole Bertoch, Spencer T. Bakken, Erik C. Hoover, Susan E. Zou, Jiyao |
author_facet | Türker, Tolga Capdarest-Arest, Nicole Bertoch, Spencer T. Bakken, Erik C. Hoover, Susan E. Zou, Jiyao |
author_sort | Türker, Tolga |
collection | PubMed |
description | Purpose. Hand infections are common, usually resulting from an untreated injury. In this retrospective study, we report on hand infection cases needing surgical drainage in order to assess patient demographics, causation of infection, clinical course, and clinical management. Methods. Medical records of patients presenting with hand infections, excluding post-surgical infections, treated with incision and debridement over a one-year period were reviewed. Patient demographics; past medical history; infection site(s) and causation; intervals between onset of infection, hospital admission, surgical intervention and days of hospitalization; gram stains and cultures; choice of antibiotics; complications; and outcomes were reviewed. Results. Most infections were caused by laceration and the most common site of infection was the palm or dorsum of the hand. Mean length of hospitalization was 6 days. Methicillin-resistant Staphylococcus aureus, beta-hemolytic Streptococcus and methicillin-susceptible Staphylococcus aureus were the most commonly cultured microorganisms. Cephalosporins, clindamycin, amoxicillin/clavulanate, penicillin, vancomycin, and trimethoprim/sulfamethoxazole were major antibiotic choices. Amputations and contracture were the primary complications. Conclusions. Surgery along with medical management were key to treatment and most soft tissue infections resolved without further complications. With prompt and appropriate care, most hand infection patients can achieve full resolution of their infection. |
format | Online Article Text |
id | pubmed-4157292 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | PeerJ Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-41572922014-09-10 Hand infections: a retrospective analysis Türker, Tolga Capdarest-Arest, Nicole Bertoch, Spencer T. Bakken, Erik C. Hoover, Susan E. Zou, Jiyao PeerJ Infectious Diseases Purpose. Hand infections are common, usually resulting from an untreated injury. In this retrospective study, we report on hand infection cases needing surgical drainage in order to assess patient demographics, causation of infection, clinical course, and clinical management. Methods. Medical records of patients presenting with hand infections, excluding post-surgical infections, treated with incision and debridement over a one-year period were reviewed. Patient demographics; past medical history; infection site(s) and causation; intervals between onset of infection, hospital admission, surgical intervention and days of hospitalization; gram stains and cultures; choice of antibiotics; complications; and outcomes were reviewed. Results. Most infections were caused by laceration and the most common site of infection was the palm or dorsum of the hand. Mean length of hospitalization was 6 days. Methicillin-resistant Staphylococcus aureus, beta-hemolytic Streptococcus and methicillin-susceptible Staphylococcus aureus were the most commonly cultured microorganisms. Cephalosporins, clindamycin, amoxicillin/clavulanate, penicillin, vancomycin, and trimethoprim/sulfamethoxazole were major antibiotic choices. Amputations and contracture were the primary complications. Conclusions. Surgery along with medical management were key to treatment and most soft tissue infections resolved without further complications. With prompt and appropriate care, most hand infection patients can achieve full resolution of their infection. PeerJ Inc. 2014-09-02 /pmc/articles/PMC4157292/ /pubmed/25210653 http://dx.doi.org/10.7717/peerj.513 Text en © 2014 Türker et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited. |
spellingShingle | Infectious Diseases Türker, Tolga Capdarest-Arest, Nicole Bertoch, Spencer T. Bakken, Erik C. Hoover, Susan E. Zou, Jiyao Hand infections: a retrospective analysis |
title | Hand infections: a retrospective analysis |
title_full | Hand infections: a retrospective analysis |
title_fullStr | Hand infections: a retrospective analysis |
title_full_unstemmed | Hand infections: a retrospective analysis |
title_short | Hand infections: a retrospective analysis |
title_sort | hand infections: a retrospective analysis |
topic | Infectious Diseases |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4157292/ https://www.ncbi.nlm.nih.gov/pubmed/25210653 http://dx.doi.org/10.7717/peerj.513 |
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