Chong Chew-Wei, Ormston Vicky Ellen, Tan Agnes Beng-Hoi
Department of Hand Surgery, Singapore General Hospital, Singapore.
Hand Surg. 2013;18(3):307-12. doi: 10.1142/S0218810413500317.
This study aims to analyze the bacteriology and antibiotic resistance in hand infection between 2000 and 2009 at a local hospital in Asia. It is a retrospective study involving all adult patients with hand infections that were treated surgically, with tissue or wound culture sent. A total of 100 cases in 2000 and 98 cases in 2009 were included in this study. Standard epidemiology information, bacteriology, antibiotic sensitivity and treatment outcome were analyzed. Particular interest was given to diabetic hand infection. There was no significant difference of outcome in hand infection between the two years. The outcome of diabetics was not statistically worse than the non-diabetics. Comparing the patients in 2000 and 2009, more younger patients were affected with hand infection in 2009. While length of stay is shorter in 2009. Mixed infection was more common in diabetics in 2009. There was trend of clindamycin resistance in methicillin-sensitive staphylococcus aureus in 2009.
本研究旨在分析2000年至2009年期间亚洲一家当地医院手部感染的细菌学及抗生素耐药情况。这是一项回顾性研究，纳入了所有接受手术治疗并送检组织或伤口培养物的成年手部感染患者。本研究共纳入2000年的100例病例和2009年的98例病例。分析了标准流行病学信息、细菌学、抗生素敏感性及治疗结果。特别关注了糖尿病性手部感染。两年间手部感染的治疗结果无显著差异。糖尿病患者的治疗结果在统计学上并不比非糖尿病患者差。比较2000年和2009年的患者，2009年手部感染的年轻患者更多。2009年住院时间更短。2009年糖尿病患者中混合感染更为常见。2009年对甲氧西林敏感金黄色葡萄球菌有克林霉素耐药的趋势。
