Most Common Causative Organism in Hand Abscess, Secondary to Puncture Wounds
Causative Organism in Hand Abscess
DOI:
https://doi.org/10.54393/pjhs.v4i05.751Keywords:
Hand Abscess, Staphylococcus aureus, Puncture Wounds, Bacterial CauseAbstract
Hand infections are frequently encountered problem by primary care doctors and orthopedic surgeons. Objective: To evaluate the frequency of common causative organisms in hand abscess, secondary to puncture wounds in patients. Methods: Descriptive cross-sectional study in the Emergency Services of plastics and hand reconstructive surgery at a Civil Hospital in Karachi, Pakistan from January to June 2022. A sample size of 156 was estimated. The Inclusion criteria of our study were Patients of age >18 years, and patients presenting with hand abscess secondary to puncture wounds. A Non-probability consecutive sampling technique was utilized to collect the data. Data were analyzed using SPSS version-23. Frequency and percentage will be computed for gender, diabetes mellitus, hypertension, location zone, and causative microorganism. Results: 156 patients were enrolled in our study out of which, 94 (60.3%) were male and 62 (39.7%) were females. The mean age of the patients was 59.7 years and the mean BMI was 32.3 kg/m 2.83(53.2%) patients had diabetes and 95 (60.9%) patients were hypertensive. The most common location zone of the abscess is Thumb & 1st web space (22.4%). The most common organism identified was Staphylococcus aureus (30.8%) followed by Streptococcus β-hemolytic group A (19.9%) and Staphylococcus coagulase-negative (14.1%). The least common organism was Klebsiella oxytoca (0.6%). Conclusions: The most common cause of hand abscess is staphylococcus aureus and puncture wounds result in hand abscess. Therefore, we conclude that in the cases of puncture wounds, physicians should timely assess the patients for the bacterial cause and treat accordingly to avoid the worst prognosis.
References
McDonald H, Gould R, Delaney D, Vecchio N. An investigation of the health-promoting practices of Australian universities. Health Promotion International. 2021 Oct; 36(5): 1403-12. doi: 10.1016/j.jhsa.2011.05.035. DOI: https://doi.org/10.1093/heapro/daab004
Houshian S, Seyedipour S, Wedderkopp N. Epidemiology of bacterial hand infections. International Journal of Infectious Diseases. 2006 Jul; 10(4): 315-9. doi: 10.1016/j.ijid.2005.06.009. DOI: https://doi.org/10.1016/j.ijid.2005.06.009
Thornton DJ and Lindau T. (iii) Hand infections. Orthopaedics and Trauma. 2010 Jun; 24(3): 186-96. doi: 10.1016/j.mporth.2010.03.016. DOI: https://doi.org/10.1016/j.mporth.2010.03.016
Malizos KN, Papadopoulou ZK, Ziogkou AN, Rigopoulos N, Athanaselis ED, Varitimidis SE, et al. Infections of deep hand and wrist compartments. Microorganisms. 2020 Jun; 8(6): 838. doi: 10.3390/microorganisms8060838. DOI: https://doi.org/10.3390/microorganisms8060838
Rerucha CM, Ewing JT, Oppenlander KE, Cowan WC. Acute hand infections. American Family Physician. 2019 Feb; 99(4): 228-36. doi:
Flevas DA, Syngouna S, Fandridis E, Tsiodras S, Mavrogenis AF. Infections of the hand: an overview. EFORT Open Reviews. 2019 May; 4(5): 183. doi: 10.1302/2058-5241.4.180082. DOI: https://doi.org/10.1302/2058-5241.4.180082
Tong SY, Davis JS, Eichenberger E, Holland TL, Fowler Jr VG. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clinical Microbiology Reviews. 2015 Jul; 28(3): 603-61. doi: 10.1128/CMR.00134-14. DOI: https://doi.org/10.1128/CMR.00134-14
Baddour LM and Brown AM. Infectious complications of puncture wounds. UpToDate. 2019. [Last Cited: 17th Mar 2022]. Available at: https://www.uptodate.com/contents/infectious-complications-of-puncture-wounds#topicContent.
Greyling JF, Visser E, Elliot E. Bacteriology and epidemiology of hand infections. SA Orthopaedic Journal. 2012 Jan; 11(1): 57-61.
Afrăsânie VA, Adavidoaiei AM, Zamisnicu IH, Funingănă IG, Marinca MV, Gafton B, et al. A very rare presentation of lung cancer: Metastases to the distal phalanx of index–case report. Medicine. 2019 Dec; 98(49). doi: 10.1097/MD.0000000000017892. DOI: https://doi.org/10.1097/MD.0000000000017892
Crosswell S, Vanat Q, Jose R. The anatomy of deep hand space infections: The deep thenar space. Journal of Hand Surgery. 2014 Dec; 39(12): 2550. doi: 10.1016/j.jhsa.2014.10.015. DOI: https://doi.org/10.1016/j.jhsa.2014.10.015
Szabo RM and Spiegel JD. Infected fractures of the hand and wrist. Hand clinics. 1988 Aug; 4(3): 477-89. doi: 10.1016/S0749-0712(21)01164-1. DOI: https://doi.org/10.1016/S0749-0712(21)01164-1
Patel DB, Emmanuel NB, Stevanovic MV, Matcuk Jr GR, Gottsegen CJ, Forrester DM, et al. Hand infections: anatomy, types and spread of infection, imaging findings, and treatment options. Radiographics. 2014 Nov; 34(7): 1968-86. doi: 10.1148/rg.347130101. DOI: https://doi.org/10.1148/rg.347130101
Türker T, Capdarest-Arest N, Bertoch ST, Bakken EC, Hoover SE, Zou J. Hand infections: a retrospective analysis. PeerJ. 2014 Sep; 2: e513. doi: 10.7717/peerj.513. DOI: https://doi.org/10.7717/peerj.513
Phipps AR and Blanshard J. A review of in-patient hand infections. Emergency Medicine Journal. 1992 Sep; 9(3): 299-305. doi: 10.1136/emj.9.3.299. DOI: https://doi.org/10.1136/emj.9.3.299
Nourbakhsh A, Papafragkou S, Dever LL, Capo J, Tan V. Stratification of the risk factors of community-acquired methicillin-resistant Staphylococcus aureus hand infection. The Journal of Hand Surgery. 2010 Jul; 35(7): 1135-41. doi: 10.1016/j.jhsa.2010.03.039. DOI: https://doi.org/10.1016/j.jhsa.2010.03.039
McDonald LS, Bavaro MF, Hofmeister EP, Kroonen LT. Hand infections. The Journal of Hand Surgery. 2011 Aug; 36(8): 1403-12. doi: 10.1016/j.jhsa.2011.05.035. DOI: https://doi.org/10.1016/j.jhsa.2011.05.035
Neviaser RJ. Tenosynovitis. Hand Clinics. 1989 Nov; 5(4): 525-31. doi: 10.1016/S0749-0712(21)00842-8. DOI: https://doi.org/10.1016/S0749-0712(21)00842-8
Afshar A, Farhadnia P, Khalkhali H. Metastases to the hand and wrist: an analysis of 221 cases. The Journal of Hand Surgery. 2014 May; 39(5): 923-32. doi: 10.1016/j.jhsa.2014.01.016. DOI: https://doi.org/10.1016/j.jhsa.2014.01.016
Kistler JM, Thoder JJ, Ilyas AM. MRSA incidence and antibiotic trends in urban hand infections: a 10-year longitudinal study. Hand. 2019 Jul; 14(4): 449-54. doi: 10.1177/1558944717750921. DOI: https://doi.org/10.1177/1558944717750921
Goldstein EJ, Citron DM, Wield B, Blachman U, Sutter VL, Miller TA, et al. Bacteriology of human and animal bite wounds. Journal of Clinical Microbiology. 1978 Dec; 8(6): 667-72. doi: 10.1128/jcm.8.6.667-672.1978. DOI: https://doi.org/10.1128/jcm.8.6.667-672.1978
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