Spread of Hand Infection According to the Site of Entry and Its Impact on Treatment Decisions.

Abstract:

: Background: Hand infections can spread quickly and destroy functional structures. Early diagnosis and adequate therapy can prevent severe morbidities. The aim of this study was to evaluate systematically the spread of hand infections according to injury mechanism, pathogens, and entry site. Methods: The data and medical records of 425 patients were collected and analyzed retrospectively. Results: The entry site had a significant influence on the severity of hand infections. Especially finger lesions led to severe infections. Furthermore, a high C-reactive protein (CRP) concentration correlated with more involved compartments of the hand. Bacterial counts also correlated with the number of compartments involved. Conclusions: Compared with known factors for the severity of hand infections finger lesions lead to especially severe infections and should not be underestimated. If there is a higher CRP concentration or more than one bacterial species isolated, compartments adjacent to the site of injury should be checked intra-operatively.

journal_name

Surg Infect (Larchmt)

journal_title

Surgical infections

authors

Dastagir K,Vehling M,Könneker S,Bingoel AS,Kaltenborn A,Jokuszies A,Vogt PM

doi

10.1089/sur.2020.035

subject

Has Abstract

pub_date

2020-07-28 00:00:00

eissn

1096-2964

issn

1557-8674

pub_type

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