Division of Plastic, Aesthetic and Reconstructive surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Section of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
PLoS One. 2019 Aug 22;14(8):e0220555. doi: 10.1371/journal.pone.0220555. eCollection 2019.
Hand infections are a common presentation at the emergency departments. Without knowing the source of infection clinicians are dependent on systematic reports on the bacterial spectrum and susceptibility tests of the specific infection in their patient community. This study was based on a retrospective chart review of patients presenting to our outpatient clinic with acute hand infections. We documented patient demographics, the etiology, location, culture tests of the infection and analyzed if certain bacteria could be cultured significantly more often in certain etiologies or in specific sites of the hand infection. Susceptibility tests were added. Bacterial swabs of 204 patients were analyzed. Overall S. aureus was found in 53% of all cases, in only one case revealed methicillin-resistant S. aureus (MRSA). There was no significant difference in the bacterial spectrum according to the etiology of the hand infections, except for animal bites where Pasteurella multocida was the dominating bacteria in 63% of all cases. Amoxicillin-clavulanic acid, fluoroquinolones, and piperacillin were effective against the main bacteria. Our study confirms the previously published antibiotic resistance reports and reinforces the current antibiotic treatment guidelines also in this western European population.
手部感染是急诊科常见的就诊原因。在不知道感染源的情况下，临床医生依赖于系统报告其所在社区患者的细菌谱和特定感染的药敏试验。本研究基于对我院门诊急性手部感染患者的回顾性病历审查。我们记录了患者的人口统计学特征、病因、感染部位、培养试验，并分析了某些细菌是否可以在特定病因或手部感染的特定部位更频繁地培养出来。药敏试验也被添加进来。对 204 名患者的细菌拭子进行了分析。总体而言，金黄色葡萄球菌在所有病例中占 53%，仅在 1 例中发现耐甲氧西林金黄色葡萄球菌（MRSA）。手部感染的病因不同，细菌谱没有显著差异，除了动物咬伤，其中多杀巴斯德菌在所有病例中占 63%。阿莫西林克拉维酸、氟喹诺酮类和哌拉西林对主要细菌有效。我们的研究证实了先前发表的抗生素耐药性报告，并在该西欧人群中也加强了当前的抗生素治疗指南。
