Despite surgical advances and new antibiotics, upper extremity infections continue to present a serious problem.
Soft tissue infections of the upper extremities were prospectively examined to elucidate incidence, cause, bacterial pathogens involved, and treatment.
Special attention was paid to infections associated with parenteral drug abuse.
During an 18-month period all patients over 16 years of age presenting for treatment of an established infection were included in the study.
Conservative treatment consisted of immobilization and antibiotics.
Radical débridement with removal of all necrotic tissue was the guideline for operative care.
In addition, for both regimens a penicillinase-resistant antibiotic was administered.
A total of 415 patients (271 men and 144 women ; mean age 36.7±14.5 years) were enrolled into the study, 55 of whom were parenteral drug abusers ; 45 of these were HIV-reactive.
Infections of fingers (excluding paronychia), paronychia, and abscesses at injection sites were the most common diagnoses.
Operative and conservative treatment were performed in 285 and 130 patients respectively.
Staphylococcus and streptococcus species were the predominant organisms recovered from 212 specimens of pus.
Anaerobic bacteria and yeasts were of minor importance.
Therefore, a penicillinase-resistant antibiotic is a good initial choice.
Mots-clés Pascal : Bactériose, Infection, Partie molle, Homme, Toxicomanie, Voie intraveineuse, Association, SIDA, Virose, Diagnostic, Epidémiologie, Etiologie, Traitement, Chimiothérapie, Incapacité travail, Membre supérieur, Antibactérien, Inhibiteur enzyme, bêta-Lactamase, Hydrolases, Enzyme, Amoxicilline, Clavulanique acide, Pénicilline dérivé, Antibiotique, Main, Système ostéoarticulaire pathologie, Main pathologie, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Bacteriosis, Infection, Soft tissue, Human, Drug addiction, Intravenous administration, Association, AIDS, Viral disease, Diagnosis, Epidemiology, Etiology, Treatment, Chemotherapy, Work disability, Upper limb, Antibacterial agent, Enzyme inhibitor, bêta-Lactamase, Hydrolases, Enzyme, Penicillin derivatives, Antibiotic, Hand, Diseases of the osteoarticular system, Disease of the hand, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0079973
Code Inist : 002B05B02J. Création : 199608.