![]() ![]() Patients on renal dialysis pose the highest risk. Susceptible to more severe infections and more likely to require surgical intervention. Higher incidence of mixed and pure gram-negative organisms (approaching 30 to 40 percent) requiring use of broader spectrum antibiotics. Wound exploration, copious irrigation, and appropriate antibiotics can prevent undesired outcomes. A clenched-fist injury usually is the result of an altercation and often involves injury to the extensor tendon, joint capsule, and bone. Treatment consists of parenteral antibiotics and sheath irrigation. Pyogenic flexor tenosynovitis is an acute synovial space infection involving a flexor tendon sheath. Pyogenic flexor tenosynovitis and clenched-fist injuries are more serious infections that often require surgical intervention. Early treatment with oral antiviral agents may hasten healing. ![]() Herpetic whitlow is a painful infection caused by the herpes simplex virus. Amore advanced felon requires incision and drainage. An early felon may be amenable to elevation, oral antibiotics, and warm water or saline soaks. Afelon is an abscess of the distal pulp of the fingertip. Treatment consists of incision and drainage, warm-water soaks and, sometimes, oral antibiotics. Paronychia, an infection of the epidermis bordering the nail, commonly is precipitated by localized trauma. Tetanus prophylaxis is indicated in patients who have at-risk infections. Many hand infections improve with early splinting, elevation, appropriate antibiotics and, if an abscess is present, incision and drainage. ![]() Host factors, location, and circumstances of the infection are important guides to initial treatment strategies. Hand infections can result in significant morbidity if not appropriately diagnosed and treated. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |