Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Nischwitz, SP; Luze, H; Spendel, S; Girsch, W; Koch, H; Fuchsjäger, N.
[Acute Hand Infections - Survey of the Pathogen Spectrum and appropriate Antibiotics].
Handchir Mikrochir Plast Chir. 2021; 53(3):219-223
Doi: 10.1055/a-1381-8017
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Fuchsjäger Nina
- Nischwitz Sebastian
- Co-Autor*innen der Med Uni Graz
- Girsch Werner
- Koch Horst
- Luze Hanna
- Spendel Stephan
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- Abstract:
- Acute infections of the hand can be a pathology with severe consequences. Alongside the surgical therapy, it is necessary to establish a systemic antiinfective therapy as well. The most frequent bacteria in acute hand infections are Staphylococcus aureus and, less frequently, different Streptococci. If the infection is the result of a bite wound, the most frequently found bacterium is Pasteurella multocida. Fortunately, the susceptibility to frequently used antibiotics in the (middle-)European area is quite good - according to the literature, resistances are rare. First line antibiotics are 1st and 2nd generation cephalosporins as well as aminopenicillins in combination with beta-lactamase inhibitors. Especially in multi-morbid patients or infections with unusual aetiology, a broader bacterial spectrum is to be expected. It is very effective to collect a tissue sample or swab for microbiological analysis before the establishment of the antiinfective therapy to gain valuable information about the prospective therapy. Ultimately, hand infections are a pathology to be treated with increased attention to avoid severe complications. A close cooperation with the involved specialties and physiotherapists should be sought to guarantee the best possible outcome.
- Find related publications in this database (using NLM MeSH Indexing)
- Anti-Bacterial Agents - therapeutic use
- Bites and Stings - drug therapy
- Humans - administration & dosage
- Prospective Studies - administration & dosage
- Staphylococcal Infections - drug therapy
- Find related publications in this database (Keywords)
- Acute hand infection
- bacterial spectrum
- antibiotics
- antiinfective therapy
- Staphylococcus aureus