Diagnostic and Management of Hand Infection.

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

1400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-01

Study Completion Date

2025-06-30

Brief Summary

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Primary or secondary (post-traumatic infections, notably related to bites, wounds, etc.) infections of the hand are very common situations, even if the epidemiology is poorly understood. For example, hand bite injuries represent 1.2 million referrals to the healthcare system per year in the United States. Their nosological framework extends from simple infections of the skin and soft tissues such as whitlows, to potentially severe deep damage such as arthritis and osteitis, or phlegmons of the tendon sheaths. The diagnostic approach is not consensual, and the contribution of additional biological parameters (inflammatory syndrome) and morphological investigations (x-rays, ultrasound, CT-scan or MRI) is not codified. Microbiology seems dominated by Staphylococcus aureus, but few studies have precisely described the microbial etiology. Consequently, probabilistic antibiotic therapy and the need to take bacteriological samples for secondary adaptation are not standardized. Likewise, surgical strategies (abstention, systematic washing or depending on evolution) remain operator dependent. We consequently aim to described diagnostic, management and related outcomes or hand infections in a specialized tertiary care center.

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Detailed Description

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Conditions

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Hand Infections Including Whitlows Tendinous Infections Septic Arthritis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Hand infection

Description of whitlows, tendinous infections and septic arthritis diagnostic, management and outcome Descriptive study, no intervention

Failure rates

Intervention Type OTHER

Describe the management failure rate for hand infections, including panariasis, phlegmons and arthritis.

Interventions

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Failure rates

Describe the management failure rate for hand infections, including panariasis, phlegmons and arthritis.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* all patient ≥ 18
* yo followed-up for a hand infection in our tertiary care center
* from 01/01/2014 to 31/12/2023, including
* whitlows
* tendinous infections
* septic arthritis