手部骨髓炎
Osteomyelitis of the hand.
作者信息
Pinder R, Barlow G
机构信息
Department of Plastic, Hand and Reconstructive Surgery, Castle Hill Hospital, Cottingham, UK
Department of Infection & Tropical Medicine, Castle Hill Hospital, Cottingham, UK.
出版信息
J Hand Surg Eur Vol. 2016 May;41(4):431-40. doi: 10.1177/1753193415612373. Epub 2015 Oct 19.
UNLABELLED
Osteomyelitis of the hand is uncommon, but if not adequately and promptly treated the detrimental effects on hand function can be devastating. The majority of literature on osteomyelitis relates to the lower limb, but the principles of management are applicable to the hand, with good surgical debridement and culture-guided antimicrobial therapy. For osteomyelitis in general, antibiotic therapy of 4-6 weeks' duration (intravenous and/or oral) is typically recommended. In the hand, length and mode of antibiotic administration are still under study.
LEVEL OF EVIDENCE
V.
未标注
手部骨髓炎并不常见，但如果未得到充分及时的治疗，对手部功能的不良影响可能是毁灭性的。大多数关于骨髓炎的文献都与下肢有关，但治疗原则适用于手部，包括良好的手术清创和培养指导下的抗菌治疗。一般来说，骨髓炎通常推荐4至6周疗程的抗生素治疗（静脉内和/或口服）。在手部，抗生素给药的时长和方式仍在研究中。
证据级别
V级。
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