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Related Experiment Videos

Hand infections in the elderly.

B V Stromberg

    Southern Medical Journal
    |February 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Hand infections in elderly patients present unique challenges. Bacterial cultures reveal more mixed infections and reduced antibiotic susceptibility compared to younger individuals.

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    Area of Science:

    • Infectious Diseases
    • Geriatric Medicine
    • Bacteriology

    Background:

    • Hand infections in the elderly pose diagnostic and management difficulties.
    • Standard treatment principles include rest, elevation, compresses, and surgical drainage.
    • Antibiotic therapy is a crucial component of managing these infections.

    Purpose of the Study:

    • To compare the characteristics of hand infections in elderly patients versus a younger population.
    • To identify differences in clinical presentation, causative organisms, and antibiotic susceptibility.

    Main Methods:

    • Retrospective review of data from elderly patients with hand infections.
    • Comparison of infection data with a younger patient cohort.
    • Analysis of clinical signs, white blood cell counts, and microbial culture results.

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    Main Results:

    • Elderly patients showed less significant elevations in temperature, pulse, and white blood cell counts.
    • Fewer pure Staphylococcus aureus and gram-positive infections were observed in the elderly (20% vs. 34% and 20% vs. 56%, respectively).
    • Elderly patients had more mixed gram-positive and gram-negative infections (60%) with a higher average number of organisms per infection (2.4 vs. 1.9).
    • Antibiotic susceptibility was significantly poorer in the elderly population.

    Conclusions:

    • Hand infections in the elderly exhibit distinct microbiological profiles compared to younger individuals.
    • Clinical indicators like fever and elevated white blood cell counts are less reliable in the elderly.
    • Cephalosporins and penicillinase-resistant antibiotics remain effective choices for treating hand infections in this demographic.