关键词: felon granuloma hand infections necrotizing fasciitis osteomyelitis paronychia septic arthritis

来  源:   DOI:10.1302/2058-5241.4.180082   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Infections of the hand are common entities that are frequently encountered by orthopaedic surgeons and primary care physicians.A high clinical suspicion and a thorough medical history with information about the social and working history of the patients, correct identification of the type and cause of the infection, and prompt initiation of appropriate treatment by the infectious diseases physicians and orthopaedic surgeons are required.Late diagnosis and inappropriate treatment may be a significant cause of morbidity for the hand and mortality for the patients. This article reviews the clinical spectrum and microbiology of the most common infections of the hand, and discusses the current concepts for their treatment. The aim is to increase the awareness of the treating physicians of the diagnosis and management of infections in the hand. Cite this article: EFORT Open Rev 2019;4:183-193. DOI: 10.1302/2058-5241.4.180082.
摘要:
手的感染是整形外科医生和初级保健医师经常遇到的常见实体。高度的临床怀疑和彻底的病史,有关患者的社会和工作史的信息,正确识别感染的类型和原因,并要求传染病医生和整形外科医生迅速开始适当的治疗。晚期诊断和不适当的治疗可能是手部发病和患者死亡的重要原因。本文回顾了最常见的手感染的临床谱和微生物学,并讨论了他们治疗的当前概念。目的是提高治疗医生对手部感染的诊断和管理的认识。引用这篇文章:EFORTOpenRev2019;4:183-193。DOI:10.1302/2058-5241.4.180082。
公众号