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Diabetic hand infections

S F Gunther1, S B Gunther

  • 1Department of Orthopaedic Surgery, Washington Hospital Center, USA.

Hand Clinics
|January 13, 1999
PubMed
Summary
This summary is machine-generated.

Diabetic hand infections are common, especially in African-Americans. Early surgical intervention is crucial for healing, though severe cases, particularly in dialysis patients, may require amputation.

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Area of Science:

  • Hand surgery
  • Infectious diseases
  • Diabetology

Background:

  • Diabetic patients exhibit increased susceptibility to hand infections.
  • Over one-third of hand infection cases in this series involved diabetic patients.
  • Specific risk factors include African-American ethnicity and high diabetes incidence.

Purpose of the Study:

  • To analyze clinical characteristics and outcomes of hand infections in diabetic patients.
  • To identify unique presentations and severe infection patterns in diabetics.
  • To emphasize optimal management strategies for diabetic hand infections.

Main Methods:

  • Retrospective analysis of a clinical series of hand infections.
  • Comparison of infection spectrum and outcomes between diabetic and nondiabetic patients.

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  • Evaluation of treatment efficacy, including surgical intervention and wound care.

    • Main Results:

    • Diabetic hand infections often involve Gram-negative and mixed organisms.
    • Severe infections occur in insulin-dependent diabetics and those with chronic renal failure.
    • Despite poor prognosis in some subgroups, most diabetic patients heal with early, aggressive surgical treatment.
    • Surgical incisions should encompass the entire area of erythema and induration.

    Conclusions:

    • Early diagnosis and aggressive surgical decompression are paramount for diabetic hand infections.
    • Observation, antibiotics, and local wound care are insufficient.
    • Patients with diabetes and renal dialysis face a high likelihood of tissue loss, repeat debridements, and potential amputation.