title: [Hand infections in children].
abstract: Subcuticular whitlow is the most frequent form of hand infections in children, mainly resulting from the penetration of a foreign body such as a thorn bush or onychophagy. Local antispesis, Dakin's fluid baths and eventually antibiotics directed toward Staphylococcus aureus are usually effective therapies. Extension to a subcutaneous whitflow needs surgery. Specific treatment must be used in case of fungal and herpetic whitlows. Paronychia tendinosa is a severe form of infection affecting flexor tendons sheaths with a high risk of sequelae; it requires an emergency surgical excision and i.v. anti-Staphylococcus aureus antibiotics therapy. Hand bites need particular attention and systematic surgical advice.
authors.affiliation: Service de traumatologie et orthopédie, hôpital Necker-Enfants-Malades, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Journeau
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001733:Bites and Stings; D002648:Child; D002675:Child, Preschool; D005547:Foreign Bodies; D006225:Hand / Q000473:pathology*; D006801:Humans; D012871:Skin Diseases / Q000188:drug therapy / Q000473:pathology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000473:pathology*; D013211:Staphylococcus aureus / Q000472:pathogenicity
chemical_list: D000900:Anti-Bacterial Agents