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Anaerobic paronychia

S M Whitehead, S J Eykyn, I Phillips

    The British Journal of Surgery
    |June 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Bacteriological cultures revealed that Staphylococcus aureus is the predominant cause of paronychia. Anaerobic bacteria were also identified, though these infections presented similarly to aerobic ones and were sensitive to penicillin.

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    Area of Science:

    • Microbiology
    • Dermatology
    • Infectious Diseases

    Background:

    • Paronychia is a common infection of the nail fold.
    • Bacteriology of paronychia is not fully understood.

    Purpose of the Study:

    • To determine the bacteriological causes of paronychia.
    • To compare clinical features and management of aerobic vs. anaerobic paronychia.

    Main Methods:

    • Bacteriological cultures of pus from 116 paronychia patients over 1 year.
    • Clinical assessment and management review.

    Main Results:

    • Aerobic bacteria, mainly Staphylococcus aureus, were isolated from 81 patients.
    • Anaerobic bacteria were found in 35 patients, often with concurrent aerobic bacteria.

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  • Anaerobic paronychias showed less acute symptoms but similar management outcomes.

    • Conclusions:

    • Staphylococcus aureus is the most common pathogen in paronychia.
    • Anaerobic bacteria, primarily oropharyngeal commensals, are also implicated.
    • Penicillin demonstrated sensitivity against most isolated anaerobes.