Official Title: Diagnostic and Management of Hand Infection a Retrospective Cohort in a Tertiary Care Center
Status: ACTIVE_NOT_RECRUITING
Status Verified Date: 2024-10
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: HandInf
Brief Summary: 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 12 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