title: Management of hand infection in Khartoum.
abstract: One hundred and fifty patients with hand infection seen during 6 months period at Khartoum Teaching Hospital were studied. The disease is more common among young males manual and industrial workers (M:F = 2:1). Common types of hand infections were paronychia in (41%) of patients, volar infections in (30.6%) and subcutaneous infections in (30%) of patients. 30% of patients needed hospital admission including all diabetics (n = 15). Two patients had serious complications that resulted in above elbow amputation. The first was a diabetic with spreading cellulitis and the second was a mentally retarded with gas gangrene. Initial empirical antibiotic therapy was prescribed in 89% of patients and later was modified according to sensitivity results. 90% of patients needed surgical drainage. Bacteriological examination showed Staph. aureus in 51% of cultures and the staphylococcus was resistant to penicillin in 77% of cultures. Apart from two deaths, the rest of the patients had satisfactory outcome.
authors.affiliation: Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan.
authors.forename: K
authors.initials: K
authors.lastname: Ezeldeen
authors.forename: A H
authors.initials: AH
authors.lastname: Fahal
authors.forename: M E
authors.initials: ME
authors.lastname: Ahmed
mesh_terms: D000328:Adult; D000671:Amputation, Surgical / Q000706:statistics & numerical data; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006229:Hand Dermatoses / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D006784:Hospitals, Teaching; D006801:Humans; D007239:Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009790:Occupations; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D013397:Sudan / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents