Diagnosis and Management of Common Hand Infections.

JBJS Rev · Apr 2020 · Review

Bilolikar VK, Seigerman DA, Ilyas AM

Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review outlines diagnosis and treatment principles for common hand infections, emphasizing broad differential diagnosis and empiric MRSA coverage in high-prevalence areas with subsequent antibiotic narrowing based on cultures.
Abstract, as published

While many hand infections are superficial, diligent evaluation, diagnosis, and treatment of these infections are central for preventing disability and morbidity. Maintaining a wide differential diagnosis is important as some hand infections may mimic others. In geographic areas with more than a 10% to 15% prevalence of community-acquired methicillin-resistant Staphylococcus aureus (MRSA) hand infections, empiric antibiotics should adequately cover MRSA. Once culture results are available, antibiotic regimens should be narrowed to reduce the development of resistant pathogens.

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