Hand infections in hospitalized patients

Review of Community-Referred Hand Infections

“…Thus, the proportion of these conditions in this series of patients was higher than in the general population. However, results reported in studies from the United States [1,2,4,7] tally with the anatomic and socioeconomic parameters of the present study. We could find no data in previous studies to show how the time to operation of six hours in our series compares with that in other centers.…”

Hand infections: a retrospective analysis

“…Laceration, unknown causation, thorn, human bite (e.g., often “fight-bite” injuries), IV injection injury, dog bite, insect bite, blunt trauma, cat bite, snake bite, and pressure injection were the causes of infections in this study (Table 1). These causes mirror results of other published studies (Akdemir & Lineaweaver, 2011; Brown & Young, 1993; Nunley et al, 1980; Phipps & Blanshard, 1992); however we believe that the single infection caused by snake bite and the 12 infections caused by thorns in this study are most likely due to geographic location. Others have reported that 60% of the infections were due to trauma, 25–30% human bites, 10–15% drug abuse, and 5–10% animal bites (Brown & Young, 1993; Nunley et al, 1980).…”

“…These causes mirror results of other published studies (Akdemir & Lineaweaver, 2011; Brown & Young, 1993; Nunley et al, 1980; Phipps & Blanshard, 1992); however we believe that the single infection caused by snake bite and the 12 infections caused by thorns in this study are most likely due to geographic location. Others have reported that 60% of the infections were due to trauma, 25–30% human bites, 10–15% drug abuse, and 5–10% animal bites (Brown & Young, 1993; Nunley et al, 1980). The majority of hand infections resulted from lacerations in Phipps and Blanshard’s study; however they reported only one hand infection that was possibly related to IV drug abuse (Phipps & Blanshard, 1992).…”

“…The most frequently isolated microorganism in our study (30% of cases) was MRSA, similar to most other articles on hand infections (Anwar, Tzafetta & Southern, 2008; Brown & Young, 1993; Eaton & Butsch, 1970; McDonald et al, 2011; Nunley et al, 1980). Fowler & Ilyas’s (2013) report on 1,507 incision and drainage patients showed 53% of the cases were due to MRSA.…”

“…Given the large standard deviation of 16 years, it can be seen that this problem spans a wide variety of age groups and is not just a problem of middle age. These demographics are parallel to those of other studies previously published over several decades (Houshian, Seyedipour & Wedderkopp, 2006; Imahara & Friedrich, 2010; Nunley et al, 1980). …”