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The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
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Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures.

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Risk factors for reoperation in primary hand infections: a multivariate analysis.

A Arsalan-Werner1, P Grisar2, M Sauerbier3

  • 1Department for Plastic, Hand and Reconstructive Surgery, Hand Trauma Center, BG-Trauma Center Frankfurt am Main, Academic Hospital of the Johann Wolfgang Goethe-University Frankfurt am Main, Friedberger Landstrasse 430, 60389, Frankfurt am Main, Germany. annika.arsalan-werner@bgu-frankfurt.de.

Archives of Orthopaedic and Trauma Surgery
|November 11, 2019
PubMed
Summary

Severe hand infections can lead to serious complications. This study identified elevated C-reactive protein, multiple infection sites, and bacterial growth as key risk factors for requiring further surgery in adult patients.

Keywords:
Hand infectionIncidenceMethicillin-resistant Staphylococcus aureusReoperation

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Area of Science:

  • Hand surgery
  • Infectious diseases
  • Epidemiology

Background:

  • Severe hand infections can result in significant morbidity, including stiffness, contracture, and potential amputation.
  • Understanding the epidemiology and risk factors for acute hand infections is crucial for effective management.

Purpose of the Study:

  • To analyze the epidemiology of adult acute hand infections in a European Hand Surgery Centre.
  • To identify risk factors associated with the need for secondary surgery in these patients.

Main Methods:

  • Retrospective analysis of 369 patients with primary hand infections requiring operative treatment.
  • Data collected included demographics, medical history, infection details, laboratory values, and microbial cultures.
  • Multivariate logistic regression was employed to determine predictors of reoperation.

Main Results:

  • The most common cause of infection was sharp cuts or lacerations (29.0%).
  • Staphylococcus aureus was the most frequently isolated organism (19.5%); methicillin-resistant Staphylococcus aureus (MRSA) was infrequent (2.2%).
  • Risk factors for reoperation included elevated C-reactive protein, multiple infection sites, and positive bacterial cultures.

Conclusions:

  • The incidence of MRSA infections in this European cohort was lower than reported in the USA.
  • Hand surgeons should tailor empiric antibiotic choices based on local patient populations.
  • Identifying patients at risk for additional surgery can be facilitated by understanding these risk factors.