title: Epidemiology of hand infection--a comparative study between year 2000 and 2009.
abstract: This study aims to analyze the bacteriology and antibiotic resistance in hand infection between 2000 and 2009 at a local hospital in Asia. It is a retrospective study involving all adult patients with hand infections that were treated surgically, with tissue or wound culture sent. A total of 100 cases in 2000 and 98 cases in 2009 were included in this study. Standard epidemiology information, bacteriology, antibiotic sensitivity and treatment outcome were analyzed. Particular interest was given to diabetic hand infection. There was no significant difference of outcome in hand infection between the two years. The outcome of diabetics was not statistically worse than the non-diabetics. Comparing the patients in 2000 and 2009, more younger patients were affected with hand infection in 2009. While length of stay is shorter in 2009. Mixed infection was more common in diabetics in 2009. There was trend of clindamycin resistance in methicillin-sensitive staphylococcus aureus in 2009.
authors.affiliation: Department of Hand Surgery, Singapore General Hospital, Singapore.
authors.forename: Chew-Wei
authors.initials: CW
authors.lastname: Chong
authors.forename: Vicky Ellen
authors.initials: VE
authors.lastname: Ormston
authors.forename: Agnes Beng-Hoi
authors.initials: AB
authors.lastname: Tan
mesh_terms: D000328:Adult; D003646:Debridement; D005260:Female; D006225:Hand / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D012189:Retrospective Studies; D012307:Risk Factors; D012846:Singapore / Q000453:epidemiology; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000382:microbiology / Q000601:surgery; D013211:Staphylococcus aureus / Q000302:isolation & purification*