1988
DOI: 10.1016/s0363-5023(88)80060-1
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A protocol for the treatment of severe infections of the hand

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Cited by 53 publications
(28 citation statements)
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“…42 The lowest infection rates are associated with the most aggressive management regimens. 43,44 Meticulous cleansing and debridement of 215 lacerations and perforations due to dog bites, together with antibiotic prophylaxis, resulted in only one infection. 44 Bites to the hand exemplify the need for a strict protocol of vigorous debridement and irrigation.…”
Section: Bites To the Head And Neckmentioning
confidence: 99%
See 1 more Smart Citation
“…42 The lowest infection rates are associated with the most aggressive management regimens. 43,44 Meticulous cleansing and debridement of 215 lacerations and perforations due to dog bites, together with antibiotic prophylaxis, resulted in only one infection. 44 Bites to the hand exemplify the need for a strict protocol of vigorous debridement and irrigation.…”
Section: Bites To the Head And Neckmentioning
confidence: 99%
“…Where adequate debridement of deep wounds, especially cat bites, is not possible, irrigation with 250 mL of saline, using a 19-or 20-gauge needle or plastic intravenous catheter on a 35-mL syringe, is essential. 43,44 To suture or not to suture?…”
Section: Bites To the Head And Neckmentioning
confidence: 99%
“…5 In this series S aureus was the primary organism in only 37%. Group A S pyogenes was present in 20% of cases.…”
Section: Discussionmentioning
confidence: 80%
“…3,5 Currently the recommendation is to treat empirically based on suspected organisms to prevent antibiotic resistance, increased cost, and potential exposure of the patient to extra side effects. 3 In patients with systemic signs of illness consideration must be given to treating empirically for the microbes identified in the patient's age group.…”
Section: Discussionmentioning
confidence: 99%
“…Hierzu m ü ssen Patienten mit einer Steroidtherapie, Diabetiker, immunsupprimierte Patienten und IV-Drogenabh ä ngige gerechnet werden. Auch Menschen-oder Tierbisse k ö nnen ungew ö hnliche Keime oder Keime mit Resistenzen gegen zahlreiche Antibiotika aufweisen [7,38,51,56,159] . In etwa 60 -70 % der F ä lle mit Keimnachweis liegt eine Staphylokokken-oder Streptokokkeninfektion vor [75,107,121,157] …”
Section: Mikrobiologieunclassified