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常见手部感染的诊断与治疗。

Diagnosis and Management of Common Hand Infections.

机构信息

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

Rothman Orthopaedic Institute, New York, NY.

出版信息

JBJS Rev. 2020 Apr;8(4):e0188. doi: 10.2106/JBJS.RVW.19.00188.

Abstract

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.

摘要

虽然许多手部感染是浅表性的,但对于预防残疾和发病,这些感染的仔细评估、诊断和治疗是至关重要的。保持广泛的鉴别诊断很重要,因为一些手部感染可能与其他感染类似。在社区获得性耐甲氧西林金黄色葡萄球菌(MRSA)手部感染流行率超过 10%至 15%的地区,经验性抗生素应充分覆盖 MRSA。一旦获得培养结果,应缩小抗生素治疗方案以减少耐药病原体的产生。

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