Early Intervention in Septic Arthritis of the Hand, Optimizing Patient Outcomes in Hand Infections-A Five-Year Retrospective Study.
Florin-Vlad HodeaAndreea Grosu-BulardaRazvan Nicolae TeodoreanuAndrei CretuVladut-Alin RatoiuIoan LascarCristian Sorin HarigaPublished in: Medicina (Kaunas, Lithuania) (2024)
Background and Objectives : Hand septic arthritis is a potentially debilitating condition that can significantly affect patient functionality and quality of life. Understanding the demographic, clinical, and microbiological characteristics of this condition is crucial for its effective treatment and management. This study aimed to analyze the demographic and clinical profiles of patients with hand septic arthritis, to identify common microbial pathogens, and to evaluate the impact of various factors on clinical course and treatment outcomes. Material and Methods: This cross-sectional retrospective study examined patients diagnosed with septic arthritis of the hand, focusing on their demographic data, clinical presentation, causative organisms, treatment methods, and outcomes. Data on age, sex, cause of infection, affected sites, surgical interventions, microbiological findings, and patient outcomes were also collected. Results: This study found a higher prevalence of septic arthritis in males and identified bite as the predominant cause. Staphylococcus aureus is the most common pathogen. A large number of patients did not exhibit bacterial growth, and bacterial resistance did not significantly affect the outcome. Outcomes were statistically influenced by the timing of medical presentation and the presence of comorbidities. Conclusions: Early diagnosis and intervention are critical for effective management of hand septic arthritis. This study underscores the need for a comprehensive approach that considers patient demographic and clinical characteristics to optimize treatment outcomes. Awareness and preventive measures are essential to reduce the incidence and severity of this condition.
Keyphrases
- rheumatoid arthritis
- acute kidney injury
- end stage renal disease
- staphylococcus aureus
- randomized controlled trial
- newly diagnosed
- ejection fraction
- cross sectional
- case report
- chronic kidney disease
- healthcare
- risk factors
- physical activity
- electronic health record
- peritoneal dialysis
- prognostic factors
- big data
- metabolic syndrome
- patient reported outcomes
- type diabetes
- multidrug resistant
- microbial community
- patient reported
- methicillin resistant staphylococcus aureus
- insulin resistance
- gram negative
- glycemic control
- antimicrobial resistance
- weight loss