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Article: Hand infections in diabetic patients

TitleHand infections in diabetic patients
Authors
Issue Date2011
PublisherWorld Scientific Publishing Co Pte Ltd. The Journal's web site is located at http://www.worldscinet.com/hs/hs.shtml
Citation
Hand Surgery, 2011, v. 16 n. 3, p. 307-312 How to Cite?
AbstractThe diabetic hand infection is less reported in the literature. Therefore, it is easily ignored and underestimated resulting in increased morbidity among the diabetic population. Diabetic hand is a rapid in progression, extensive and severe tissue destruction. We analyze the clinical course and outcome of hand infection in diabetic patients. We reviewed all the admissions with hand infection from January 2006-April 2010. Thirty-seven patients were found with associated diabetes mellitus. The demographic data, culture report, number of operations and management, hospital stay and outcome-like amputation were recorded. The average age was 62 years. Pain and swelling were the chief complaints. The cause of infection was varied. The infection was superficial in 13 and deep in 24 patients. Forty-one percent of culture report revealed polymicrobial organism. The increased length of hospital stay, reoperations and amputation were associated with deep infection and polymicrobial organism. Prompt medical and surgical attentions are the most important factors. A proper glycemic control, elevation of the affected extremity, thorough and adequate surgical debridement and appropriate antibiotics are the important considerations when dealing with diabetic hand infection.
Persistent Identifierhttp://hdl.handle.net/10722/164446
ISSN
2015 SCImago Journal Rankings: 0.286

 

DC FieldValueLanguage
dc.contributor.authorJalil, Aen_US
dc.contributor.authorBarlaan, PIGen_US
dc.contributor.authorFung, BKKen_US
dc.contributor.authorIp, JWYen_US
dc.date.accessioned2012-09-20T07:59:37Z-
dc.date.available2012-09-20T07:59:37Z-
dc.date.issued2011en_US
dc.identifier.citationHand Surgery, 2011, v. 16 n. 3, p. 307-312en_US
dc.identifier.issn0218-8104-
dc.identifier.urihttp://hdl.handle.net/10722/164446-
dc.description.abstractThe diabetic hand infection is less reported in the literature. Therefore, it is easily ignored and underestimated resulting in increased morbidity among the diabetic population. Diabetic hand is a rapid in progression, extensive and severe tissue destruction. We analyze the clinical course and outcome of hand infection in diabetic patients. We reviewed all the admissions with hand infection from January 2006-April 2010. Thirty-seven patients were found with associated diabetes mellitus. The demographic data, culture report, number of operations and management, hospital stay and outcome-like amputation were recorded. The average age was 62 years. Pain and swelling were the chief complaints. The cause of infection was varied. The infection was superficial in 13 and deep in 24 patients. Forty-one percent of culture report revealed polymicrobial organism. The increased length of hospital stay, reoperations and amputation were associated with deep infection and polymicrobial organism. Prompt medical and surgical attentions are the most important factors. A proper glycemic control, elevation of the affected extremity, thorough and adequate surgical debridement and appropriate antibiotics are the important considerations when dealing with diabetic hand infection.-
dc.languageengen_US
dc.publisherWorld Scientific Publishing Co Pte Ltd. The Journal's web site is located at http://www.worldscinet.com/hs/hs.shtml-
dc.relation.ispartofHand Surgeryen_US
dc.rightsHand Surgery. Copyright © World Scientific Publishing Co Pte Ltd.-
dc.subject.meshAnti-Bacterial Agents - therapeutic use-
dc.subject.meshBacterial Infections - etiology - therapy-
dc.subject.meshDebridement - methods-
dc.subject.meshDiabetes Complications - complications - therapy-
dc.subject.meshHand-
dc.titleHand infections in diabetic patientsen_US
dc.typeArticleen_US
dc.identifier.emailJalil, SA: dramirjalil@yahoo.comen_US
dc.identifier.emailBarlaan, PIG: ianscoy@hku.hken_US
dc.identifier.emailFung, BKK: bkkfung@hku.hken_US
dc.identifier.emailIp, JWY: wyip@hku.hk-
dc.identifier.authorityIp, JWY=rp00401en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1142/S021881041100559X-
dc.identifier.pmid22072465-
dc.identifier.scopuseid_2-s2.0-84858394211-
dc.identifier.hkuros209002en_US
dc.identifier.volume16en_US
dc.identifier.issue3-
dc.identifier.spage307-
dc.identifier.epage312-
dc.publisher.placeSingapore-

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