A protocol for the treatment of severe infections of the hand

Hospital management of animal and human bites

“…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.…”

“…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?…”

Causative Microorganisms in Surgically Treated Pediatric Hand Infections

“…5 In this series S aureus was the primary organism in only 37%. Group A S pyogenes was present in 20% of cases.…”

“…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.…”

Die Beugesehnenscheideninfektion: Eine Übersicht

“…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] …”