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手部感染:概述

Infections of the hand: an overview.

作者信息

Flevas Dimitrios A, Syngouna Sophia, Fandridis Emmanouel, Tsiodras Sotirios, Mavrogenis Andreas F

机构信息

First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Department of Upper Extremity Surgery and Microsurgery, KAT Hospital, Athens, Greece.

出版信息

EFORT Open Rev. 2019 May 10;4(5):183-193. doi: 10.1302/2058-5241.4.180082. eCollection 2019 May.

Abstract

Infections of the hand are common entities that are frequently encountered by orthopaedic surgeons and primary care physicians.A high clinical suspicion and a thorough medical history with information about the social and working history of the patients, correct identification of the type and cause of the infection, and prompt initiation of appropriate treatment by the infectious diseases physicians and orthopaedic surgeons are required.Late diagnosis and inappropriate treatment may be a significant cause of morbidity for the hand and mortality for the patients. This article reviews the clinical spectrum and microbiology of the most common infections of the hand, and discusses the current concepts for their treatment. The aim is to increase the awareness of the treating physicians of the diagnosis and management of infections in the hand. Cite this article: 2019;4:183-193. DOI: 10.1302/2058-5241.4.180082.

摘要

手部感染是骨科医生和初级保健医生经常遇到的常见病症。需要高度的临床怀疑,以及包含患者社会和工作史信息的详尽病史,准确识别感染类型和病因,并由传染病医生和骨科医生及时启动适当治疗。诊断延迟和治疗不当可能是手部发病和患者死亡的重要原因。本文回顾了手部最常见感染的临床范围和微生物学,并讨论了其当前的治疗理念。目的是提高治疗医生对手部感染诊断和管理的认识。引用本文:2019;4:183 - 193。DOI:10.1302/2058 - 5241.4.180082。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/945d/6540949/8da2e9c0b020/eor-4-183-g001.jpg

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