Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/12626
Title: Is tropical pus in the hand special? A retrospective study comparing hand infection cases in Darwin and Adelaide.
Authors: Baxter, Claire R
Burnett, Nikki
Alatrash, Mona
Sires, James
van Essen, Phillipa
Dean, Nicola R
Citation: © 2024 The Authors. ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons.
ANZ J Surg. 2024 Jan 19. doi: 10.1111/ans.18864.
Abstract: BACKGROUND: Hand infections are a common reason for presenting to hospital and can be associated with significant morbidity and prolonged antibiotic use. Factors recognized to influence patient outcomes include resistant organisms and delayed presentation. Surgeons working around Australia may assume that hand infections and appropriate treatment algorithms will be similar between sites. This is the first study to examine differences between hand infections presenting in Darwin (with its tropical climate) vs. those in a more temperate city (Adelaide). METHODS: This is a two-site retrospective study, where diagnostic discharge codes were used to identify cases for a 12-month period and patient age, sex and rurality, duration of hospital stay, microbiology results and subsequent trips to theatre were reviewed. RESULTS: Despite significant differences in rurality between FMC and RDH patients, there was no significant difference in length of hospital stay, duration of intravenous antibiotics or return trips to theatre across the two sites. RDH reported a 25% rate of MRSA, compared to 18% at FMC, as well as a statistically significant increase in uncommon microbes, with 30% compared to 12% of patients growing microbes that may not be covered by antibiotics routinely administered in metropolitan areas. A limitation of this study was that compliance with antibiotics and hospital stay were not accounted for. CONCLUSION: It is often our training years that determine our norms of everyday practice, but fewer Australian surgical training posts are located in tropical centres. The results of this study highlight the importance of not assuming that the spectrum of organisms causing hand infections are the same as that in the surgeons' state of origin.
Click to open Pubmed Article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/38240155
Journal title: ANZ journal of surgery
Publication Date: 2024-01-19
Type: Journal Article
URI: https://hdl.handle.net/10137/12626
DOI: 10.1111/ans.18864
Orcid: 0000-0002-3888-9680
0000-0001-7084-2359
Appears in Collections:(a) NT Health Research Collection

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