Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
Rothman Orthopaedic Institute, New York, NY.
JBJS Rev. 2020 Apr;8(4):e0188. doi: 10.2106/JBJS.RVW.19.00188.
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.
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。
