Hand Infection Treatment Haughton LA

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Daniel A Charlick, MD
(318) 456-6351
243 Curtiss Rd Ste 100
Barksdale Afb, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1998

Data Provided By:
Rudolph Cachuela, MD
243 Curtiss Rd Ste 100
Barksdale Afb, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1988

Data Provided By:
Clinton Gayle McAlister, MD
(318) 747-0310
2400 Hospital Dr Ste 130
Bossier City, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1964

Data Provided By:
Diego A Miranda
(318) 212-7841
2449 Hospital Drive
Bossier City, LA
Specialty
Hand Surgery

Data Provided By:
Michael T Acurio
(318) 752-7850
2005 Landry Drive
Bossier City, LA
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Steven Hospodar
(318) 456-6300
243 Curtis Rd
Barksdale Afb, LA
Specialty
Orthopedic Surgery

Data Provided By:
Donald Duane Cope, DDS
(318) 742-9274
2160 Airline Dr
Bossier City, LA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Clinton G McAlister
(318) 752-7850
2005 Landry Drive
Bossier City, LA
Specialty
Orthopedic Surgery

Data Provided By:
Dr.John Mays
(318) 675-5000
2449 Hospital Dr # 200
Bossier City, LA
Gender
M
Education
Medical School: Univ Of Al Sch Of Med
Year of Graduation: 1994
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 2, reviews.

Data Provided By:
Robert Elliot Schwartz, MD
(318) 752-7850
2400 Hospital Dr
Bossier City, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1979

Data Provided By:
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Diagnosis and Treatment of Hand Infections

In this article, hand surgeons from the Walter Reed National Military Medical Center in Washington, D.C. offer us a review of rare, but potentially disabling hand infections. They focus on two infections of the wrist, hand, or fingers: osteomyelitis and septic arthritis. Causes, type of bacteria involved, patient symptoms, diagnosis, and treatment are summarized for each condition. Complications with and without treatment are also presented.

Osteomyelitis is an infection of the bone or bone marrow that can affect the hand. The most common infecting bacteria are staph, strep, and e coli. Undiagnosed, delayed diagnosis, or untreated, any of these infectious agents can cause destruction of the joint. Loss of motion, impaired function, and eventual arthritis with pain, stiffness, and disability can occur. The disease process can get so bad, a person can lose the affected hand.

How does a person get osteomyelitis of the hand or wrist? There are three main mechanisms: 1) puncture wounds (e.g., human bites, thorns, fractures, and surgery), 2) spread from infection of nearby soft tissues, and 3) spread through the blood system from any other infection in the body.

The immune system sets up an inflammatory response and tries to wall off the infection. In the healthy child or adult, this reaction may be enough to take care of the problem. But malnutrition, smoking, medications that suppress the immune system, and cancer or other health problems can put the patient at a disadvantage for self-healing.

In the case of one particular bacteria (methicillin resistant Staphylococcus aureus or MRSA, pronounced "mersa"), even healthy people can be affected. Tissue invasion and severe bone destruction can occur quickly. That's why early diagnosis and immediate treatment is recommended for hand infections of this type.

How does the hand surgeon know a patient has an osteomyelitis-linked hand infection? There are usually visual signs (swelling, redness, warmth) and pain. The patient may have a fever with chills and fatigue. These flu-like symptoms are a red flag of systemic (system-wide) infection. Blood tests and imaging studies possibly including X-rays, bone scans, PET scans, MRIs, and other more advanced imaging aid in making the diagnosis.

Once it's clear what the surgeon is dealing with, then treatment begins. Antibiotics may be all that's needed if the problem is identified and caught early. But most of the time, surgery is needed to debride (clean out) the area. This surgical procedure is followed by a course of antibiotics as well.

It may be necessary to perform more than one debridement, a process called serial debridement. Serial debridement is done until the affected area is clear of infection. The whole process can take six weeks or more. If the infection has occurred around an implant (e.g., joint replacement or hardware used to repair a fracture), the implant may have to be removed before debridement and antibiot...

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