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[Hand infections in children].

P Journeau1

  • 1Service de traumatologie et orthopédie, hôpital Necker-Enfants-Malades, Paris, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|August 15, 2000
PubMed
Summary

Hand infections in children, like whitlow, often stem from foreign bodies or nail-biting. Prompt treatment with antisepsis and antibiotics is key, but severe cases like tendon sheath infections require immediate surgery.

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Area of Science:

  • Hand infections in pediatric patients
  • Infectious disease of the hand
  • Dermatology and Orthopedics

Context:

  • Subcuticular whitlow is the most common hand infection in children, often caused by foreign body penetration (e.g., thorns) or onychophagy (nail-biting).
  • Standard treatments include local antisepsis, Dakin's fluid, and antibiotics targeting Staphylococcus aureus.
  • More severe infections, such as subcutaneous whitlow, paronychia tendinosa, fungal, or herpetic whitlows, necessitate distinct and often urgent interventions.

Purpose:

  • To outline the common causes and effective treatments for various types of hand infections in children.
  • To differentiate management strategies based on infection type and severity.
  • To emphasize the critical nature of specific infections like paronychia tendinosa.

Summary:

  • Subcuticular whitlow, frequent in children, is typically treated with antisepsis and antibiotics for Staphylococcus aureus.
  • Extension to subcutaneous whitlow requires surgical intervention.
  • Paronychia tendinosa, a severe flexor tendon sheath infection, demands emergency surgery and intravenous antibiotics.
  • Fungal and herpetic whitlows require specific therapeutic approaches.
  • Hand bites necessitate careful evaluation and surgical consultation.

Impact:

  • Provides a concise guide for clinicians managing pediatric hand infections.
  • Highlights the importance of early and accurate diagnosis for appropriate treatment selection.
  • Reduces the risk of long-term sequelae associated with severe hand infections through timely intervention.

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