[Hand infections].

Area of Science:

• Infectious Diseases
• Surgical Infections
• Hand Surgery

Background:

• Superficial and deep hand infections are common in clinical practice.
• Accurate diagnosis through clinical examination is vital for appropriate patient care.
• Surgical intervention is often the primary treatment for hand infections.

Purpose of the Study:

• To emphasize the importance of clinical assessment in managing hand infections.
• To highlight appropriate initial management strategies, including empiric antibiotics for specific cases like bites.
• To underscore the need for prompt and effective treatment to prevent complications.

Main Methods:

• Clinical examination as a primary diagnostic tool.
• Consideration of empiric antibiotherapy for specific indications (e.g., bites).
• Surgical intervention when indicated.

Main Results:

• Staphylococcus aureus and Group Beta Streptococcus are common pathogens.
• Methicillin-resistant Staphylococcus aureus (MRSA) should be considered in diagnoses.
• Repeated clinical assessment within two days is crucial for monitoring treatment efficacy.

Conclusions:

• Early and adequate treatment of hand infections is critical.
• Timely management prevents functional complications and potential mortality.
• Clinical assessment guides adapted care and treatment decisions.