Review of Community-Referred Hand Infections

Anwar, Mohammed; Tzafetta, Kalliroi; Southern, Stephen

doi:10.1089/sur.2007.031

Cited by 7 publications

(5 citation statements)

References 11 publications

(9 reference statements)

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“…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.…”

Section: Discussionsupporting

confidence: 90%

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Hand infections: a retrospective analysis

Türker

Capdarest–Arest

Bertoch

et al. 2014

PeerJ

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Purpose. Hand infections are common, usually resulting from an untreated injury. In this retrospective study, we report on hand infection cases needing surgical drainage in order to assess patient demographics, causation of infection, clinical course, and clinical management.Methods. Medical records of patients presenting with hand infections, excluding post-surgical infections, treated with incision and debridement over a one-year period were reviewed. Patient demographics; past medical history; infection site(s) and causation; intervals between onset of infection, hospital admission, surgical intervention and days of hospitalization; gram stains and cultures; choice of antibiotics; complications; and outcomes were reviewed.Results. Most infections were caused by laceration and the most common site of infection was the palm or dorsum of the hand. Mean length of hospitalization was 6 days. Methicillin-resistant Staphylococcus aureus, beta-hemolytic Streptococcus and methicillin-susceptible Staphylococcus aureus were the most commonly cultured microorganisms. Cephalosporins, clindamycin, amoxicillin/clavulanate, penicillin, vancomycin, and trimethoprim/sulfamethoxazole were major antibiotic choices. Amputations and contracture were the primary complications.Conclusions. Surgery along with medical management were key to treatment and most soft tissue infections resolved without further complications. With prompt and appropriate care, most hand infection patients can achieve full resolution of their infection.

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Section: Discussionsupporting

confidence: 90%

“…Anwar, Tzafetta & Southern (2008) also reported that majority of infections were cellulitis and abscess. In our study, the majority of patients had cellulitis and deep abscess, there were no patients with paronychia, and there were 2 felon patients (Table 3).…”

Section: Discussionmentioning

confidence: 97%

Hand infections: a retrospective analysis

Türker

Capdarest–Arest

Bertoch

et al. 2014

PeerJ

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“…There are few recent reports on the epidemiology of patients presenting with acute hand infections [1, 3]. Anwar and colleagues published the results of a retrospective chart review with data from 76 patients with hand infections admitted to the plastic surgery unit at a general hospital in the United Kingdom.…”

Section: Discussionmentioning

confidence: 99%

Susceptibility of microorganisms causing acute hand infections

et al. 2019

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Hand infections are a common presentation at the emergency departments. Without knowing the source of infection clinicians are dependent on systematic reports on the bacterial spectrum and susceptibility tests of the specific infection in their patient community. This study was based on a retrospective chart review of patients presenting to our outpatient clinic with acute hand infections. We documented patient demographics, the etiology, location, culture tests of the infection and analyzed if certain bacteria could be cultured significantly more often in certain etiologies or in specific sites of the hand infection. Susceptibility tests were added. Bacterial swabs of 204 patients were analyzed. Overall S . aureus was found in 53% of all cases, in only one case revealed methicillin-resistant S . aureus ( MRSA). There was no significant difference in the bacterial spectrum according to the etiology of the hand infections, except for animal bites where Pasteurella multocida was the dominating bacteria in 63% of all cases. Amoxicillin-clavulanic acid, fluoroquinolones, and piperacillin were effective against the main bacteria. Our study confirms the previously published antibiotic resistance reports and reinforces the current antibiotic treatment guidelines also in this western European population.

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“…genannt, welche in ihren Studien durchgängig S. aureus als führenden Keim, zumeist in über 50 % der Fälle isolieren konnten [2,5,6]. Während in einigen Studien, insbesondere aus dem nordamerikanischen Raum, das Vorkommen von Methicillin-resistentem-Staphylococcus-aureus (MRSA) mit teilweise über 50 % als relativ hoch zu bewerten ist [7][8][9][10][11], dokumentieren andere Studien aus dem europäischen Raum ein deutlich geringeres Vorkommen von MRSA [2,12]. Gleichzeitig ist jedoch auch in Europa eine steigende Prävalenz von MRSA zu beobachten -dies aber insbesondere bei nosokomialen Infektionen [13].…”

Section: Keimspektrumunclassified

“…Die Autoren dieses Beitrags konnten in der rezenten Literatur nur 2 Studien zur Resistenzlage bei klinischen Infektionen der Hand ausmachen: Sowohl Anwar und Mitarb. [12] als auch Fuchsjäger und Mitarb. [2] konnten in ihren Fallserien mit 76 respektive 204 Patienten eine gute Wirksamkeit der üblicherweise eingesetzten (und empfohlenen) Antibiotika nachweisen [25,26].…”

Section: Antibiotikatherapieunclassified

Akute Infektionen der Hand – Ein Überblick über das Keimspektrum und gängige Antibiotika

Nischwitz

Luze

Spendel

et al. 2021

Handchir Mikrochir Plast Chir

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ZusammenfassungAkute Infektionen der Hand können ein schwerwiegendes Krankheitsbild darstellen. Neben der chirurgischen Therapie ist die Etablierung einer antibiotischen Therapie in den meisten Fällen Mittel der ersten Wahl. Die häufigsten vorkommenden Keime sind Staphylococcus aureus sowie verschiedene Streptokokken. Bei Bisswunden ist zusätzlich Pasteurella multocida sehr häufig vertreten. Resistenzen gegen Antibiotika der entsprechenden Keime sind der publizierten Literatur zu Folge im (mittel-)europäischen Raum glücklicherweise selten, sodass Cephalosporine der 1. oder 2. Gruppe sowie Aminopenicilline mit Betalaktamaseinhibitoren die Mittel der Wahl darstellen. Insbesondere bei Begleiterkrankungen oder ungewöhnlicher Ätiologie der Infektion ist jedoch ein breiteres Keimspektrum zu erwarten, sodass eine Gewebeprobe zur Etablierung der optimalen antibiotischen Therapie wertvolle Informationen liefert. Infektionen der Hand sollten in jedem Fall mit besonderer Aufmerksamkeit engmaschig betreut werden, um gravierende Komplikationen zu verhindern. Dies sollte in enger Zusammenarbeit mit den beteiligten Fachdisziplinen sowie Physiotherapeuten erfolgen.

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Review of Community-Referred Hand Infections

Abstract: Hand infections are surgical emergencies; correct and prompt management thus is essential. A quick and effective regimen for treatment yielded good results.

Cited by 7 publications

References 11 publications

Hand infections: a retrospective analysis

Hand infections: a retrospective analysis

Susceptibility of microorganisms causing acute hand infections

Akute Infektionen der Hand – Ein Überblick über das Keimspektrum und gängige Antibiotika

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