DEEP SPACE INFECTION Flashcards
1
Q
Deep Spaces of Hand
A
Thenar
Hypothenar
Midpalmar
2
Q
Mechanism
A
Direct inoculation
Contiguous spread
3
Q
Etiology
A
S. Aureus
Strep sp.
Anaerobes
4
Q
Why are deep space infections commonly misdiagnosed as cellulitis?
A
Dorsum of and often swells with inflammatory or infectious process of the hand due to veins and lymphatics
Deeper structures of the palmar aspect of the hand are missed
5
Q
Clinical Features
A
Palpation of the volar aspect of the hand elicits tenderness, induration or fluctuance
Range of motion often produces marked pain
6
Q
Management
A
Send any spontaneous exudate for Gram stain and culture
Immobilize and elevate the extremity
Ampicillin-Sulbactam
1.5 g IV q 6 h
OR
Pip-tazo
3.375 g q 6 h
PLUS
Vancomycin
1 g IV q 12 hrs
IF MRSA IS SUSPECTED
Admit and consult plastics
