Hand infection at Kassala Teaching Hospital, Sudan

Ali Badawi, Mohamed Toum Musa Ibrahim, F. M. Toum


Background: Infections of the upper limb are common and account for up to 35% of patients admitted to
a hand surgery service. The majority of patients with acute hand infections are healthy and active young
adults who have neglected or delayed appropriate treatment for minor trauma. More severe infections with
significant morbidity are seen in patients with impaired immune status.
Objectives: To study the hand infections: precipitating factors, clinical presentation, management and
outcome, as well as association of hand infection with occupation.
Patients and methods: This is a prospective hospital based study. It was conducted in Kassala Teaching
Hospital (Sudan), over a period of nine months from January 2013 to September 2013. Data were collected
using a structured questionnaire and analyzed using SPSS version 19.
Results: Ninety patients with acute hand infection were included in this study, out of whom 77.8% were
males. The most common type of acute hand infection was felon forming 40%. The infection was mainly
at the dominant side (74,4%). Ninety per cent of patients were treated by incision and drainage, 7.8% by
debridement and 2.2% by amputation.
Conclusion: The vast majority of the affected population were young productive individuals. Proper early
management was associated with few disabilities.


Hand infection; Kassala; Teaching ;Hospital

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