Causative Microorganisms in Surgically Treated Pediatric Hand Infections

Mixed Infections of the Paronychium with Prevotella bivia

“…In the last decade, there has been an increased awareness of anaerobic, Gram-negative musculoskeletal infections, including an increased incidence in the hand [1,4,7]. In most cases of mixed infections, anaerobes outnumbered aerobes in the various sites observed [18].…”

“…The most prevalent pathogen in acute paronychia is Staphylococcus aureus, which is the causative bacterium in 50 to 80% of cases [2][3][4]. However, anaerobic infections, especially mixed aerobic/anaerobic infections, are becoming increasingly common [1,[5][6][7].…”

Thumb-Sucking, Nail-Biting, and Atopic Sensitization, Asthma, and Hay Fever

“…The cohort represents the full range of socioeconomic status in the South Island of New Zealand, and the study participants are mostly of New Zealand European ethnicity. Follow-up assessments were completed at ages 3,5,7,9,11,13,15,18,21,26,32, and 38 years. A full description of the study is reported elsewhere.…”

Pyogenic Flexor Tenosynovitis in an Infant

“…Additional unique risk factors in the pediatric population include thumb sucking and fingernail biting. 6 The local trauma induced from these habits weakens the integumentary barrier and can facilitate infection. Not surprisingly, Staphylococcus and Streptococcus are the most commonly isolated organisms in the adult population, a trend also seen in pediatric hand infections.…”

“…Not surprisingly, Staphylococcus and Streptococcus are the most commonly isolated organisms in the adult population, a trend also seen in pediatric hand infections. 6 Antibiotics should, therefore, be targeted against natural skin flora while awaiting surgical infection control.…”