Clinical Profile, Bacteriological Study, and Management of Hand Infections

  • Rajkumar Sade Kamineni Institute of Medical Sciences, Narketpally, Telangana, India
  • Sade Kirthana Hyderabad, Telangana, India
  • Thota Chiranjeevi Kamineni Institute of Medical Sciences, Narketpally, Telangana, India
  • T V Siddharth Kamineni Institute of Medical Sciences, Narketpally, Telangana, India
Keywords: Acute paronychia, Hypothenar space infection, Palmer space infection, Pulp space infection, Thenar space infection, Web space infections

Abstract

Introduction: Hand infection is the infection of the confined spaces, joints, tendon sheaths, and bursae of the hand. Hand infections are common occurrences, usually resulting from an injury, that when left untreated, can quickly lead to tissue destruction and loss of function or permanent disability. Infections may be categorized anatomically: Superficial, involving the tendon and tendon sheath, involving the joint or bone, or affecting the deep spaces of the hand. Acute infections of the hand are a significant cause of morbidity and mortality; when left untreated, they can lead to tissue destruction and loss of function or even permanent disability. [1,2]
Aim: The aim of the study was to study the clinical profile, bacteriology, and management of hand infections.
Objectives: The objectives of the study were as follows (1) to study the gender-wise and age-wise distribution of hand infections, (2) To evaluate the various causes of hand infections, (3) to evaluate the organisms causing hand infections, (4) to evaluate different types of hand infections and study their clinical presentation, (5) to study the complications of hand infections, and (6) to study the various modalities of management of hand infections.
Materials and Methods: An observational, prospective study carried out on 30 patients presenting to the Department of General Surgery, Kamineni Institute of Medical Sciences, Narketpally, during the period of October 2018–September 2019. In the present study, a total number of 30 cases with various hand infections were studied.
Inclusion Criteria: The following criteria were included in the study (1) all the cases of various hand infections and (2) all the patients below 60 years of age.
Exclusion Criteria: The following criteria were excluded from the study (1) all the cases of hand infections (>3 months duration), (2) all the patients above 60 years of age, and (3) patients with comorbidities which delay wound healing such as anemia and diabetes mellitus.
Results: Of 30 patients, men (63.33%) and female (36.67%), trauma was found to be a major predisposing factor (33.33%), common presentation was pain and swelling (93.33%), and acute paronychia is the most common type of hand infection (33.37%).

Author Biographies

Rajkumar Sade, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India

Associate Professor, Department of General surgery

Sade Kirthana, Hyderabad, Telangana, India

Junior Resident, Apollo Institute of Medical Sciences

Thota Chiranjeevi, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India

Junior Resident, Department of General Surgery

T V Siddharth, Kamineni Institute of Medical Sciences, Narketpally, Telangana, India

Senior Resident, Department of General Surgery 

Published
2020-03-30
Section
Articles