HAND INFECTIONS
Hand infections are the prime cause of loss of working hours for manualworkers and housewives. The objective was to study different types of hand infections, infecting organisms and to findout different residual complications. This prospective study was carried out at C.M.H., Peshawar from March 1, 2000to March 1, 2003. All patients above 12 years were included in the study. Diabetics, immunosuppressed patients, drugaddicts, and patients on steroid or cytotoxic therapy, were excluded from the study. Other exclusion criteria were crushinjuries, burns, compound fractures and skin lacerations. The diagnosis of hand infection was based on history,physical and roentgenographic examinations of the hand. All the patients were put on Cloxacillin & Gentacin and theiraffected hands were elevated. In cases of suppuration, surgical drainage was done & pus was sent for C/S. Earlyphysiotherapy was instituted & residual complications were recorded..Relative frequencies of different types of handinfections in 176 cases included Paronychia (22.16%), Cellulitis (21.02%), Felon (19.32%), Proximal & Middle VolarSpace infection (16.48%), web space infection (14.77%), Thenar Space Abscess (3.41%) and midpalmar abscess1.70%). Frequencies of hand infections in adolescents, young, middle and elderly patients were 14.77%, 52.84%, 25%and 7.39% respectively. There was no significant difference in frequencies of hand infection amongst males andfemales. The percentages of right hand and left hand involvement were 57.38% and 42.61% respectively. The ratiobetween manual workers and other patients of hand infections was 2.5:1. Staphylococcus aureus was detected as asingle offending organism in most of the cultures(62.59%) and stiffness was the leading complication(14.20%). Thefrequency of complications was significantly more in elderly patients (53.28%) but there was no significant differenceof complications amongst males and females.