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Antibiotic sensitivity in hand infections.

K C Pringle

    The New Zealand Medical Journal
    |December 24, 1975
    PubMed
    Summary

    Infections on hands are most commonly caused by coagulase-positive staphylococci, often alongside group A beta-haemolytic streptococci. Many staphylococci strains show resistance to common antibiotics like sulphonamides and penicillin.

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    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Dermatology

    Background:

    • Hand infections are a common reason for seeking primary medical care.
    • Identifying causative organisms is crucial for effective treatment.
    • Antibiotic resistance patterns influence therapeutic choices.

    Purpose of the Study:

    • To survey the microbial organisms responsible for primary hand infections.
    • To determine the prevalence of specific bacteria, particularly staphylococci and streptococci.
    • To assess the antibiotic resistance profiles of isolated staphylococci.

    Main Methods:

    • Culturing of 89 infected hand lesions from patients seeking primary treatment.
    • Isolation and identification of 116 microbial organisms.
    • Testing antibiotic susceptibility of coagulase-positive staphylococci to sulphonamides and penicillin.

    Main Results:

    • Coagulase-positive staphylococci were the predominant organisms isolated.
    • Group A beta-haemolytic streptococci were found in conjunction with staphylococci in 24 cases.
    • 19% of staphylococci were resistant to sulphonamides, and 45% were resistant to penicillin.

    Conclusions:

    • Coagulase-positive staphylococci are a primary cause of hand infections.
    • The presence of group A beta-haemolytic streptococci as a co-infecting agent is notable.
    • Significant resistance to penicillin and sulphonamides necessitates careful antibiotic selection for hand infections.

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