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Trials / Active Not Recruiting

Active Not RecruitingNCT06630988

Diagnostic and Management of Hand Infection.

Diagnostic and Management of Hand Infection: a Retrospective Cohort in a Tertiary Care Center.

Status
Active Not Recruiting
Phase
Study type
Observational
Enrollment
1,400 (estimated)
Sponsor
Hospices Civils de Lyon · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

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 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.

Conditions

Interventions

TypeNameDescription
OTHERFailure ratesDescribe the management failure rate for hand infections, including panariasis, phlegmons and arthritis.

Timeline

Start date
2024-09-01
Primary completion
2024-12-31
Completion
2025-06-30
First posted
2024-10-08
Last updated
2024-10-08

Locations

1 site across 1 country: France

Source: ClinicalTrials.gov record NCT06630988. Inclusion in this directory is not an endorsement.