BACKGROUND: Treatment of septic hand @entity2762 is complex, and often requires multiple d  bridements and prolonged antibiotic therapy. The authors undertook this study to identify factors that might be associated with the need for subsequent d  bridement (after the initial one) because of persistence or secondary worsening of @entity281 . METHODS: In this retrospective single-center study, the authors included all adult @entity1 who presented to their emergency department from 2007 to 2010 with @entity2762 of the hand. RESULTS: The authors identified 126 adult @entity1 (55 @entity1 ; median age, 45 years), nine of whom were immunosuppressed. All had @entity5046 ; 34 (27 percent) had a @entity733 and eight (6 percent) were febrile. All underwent at least one surgical d  bridement and had concomitant antibiotic therapy (median, 15 days; range, 7 to 82 days). At least one additional surgical intervention was required in 18 cases (median, 1.13 interventions; range, one to five interventions). All but four episodes (97 percent) were cured of @entity281 on the first attempt after a median follow-up of 27 months. By multivariate analysis, only two factors were significantly associated with the outcome "subsequent surgical d  bridement": abscess (OR, 4.6; 95 percent CI, 1.5 to 14.0) and longer duration of antibiotic therapy (OR, 1.2; 95 percent CI, 1.1 to 1.2). CONCLUSION: In @entity2762 of the hand, the only presenting factor that was statistically predictive of an increased risk of needing a second d  bridement was the presence of a @entity733 . CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.

XXXX of the Hand: Factors Predicting Need for Subsequent D  bridement.

@entity1 :: ('9606', 'Species') :: ['patients', 'men'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity733 :: ('MESH:D000038', 'Disease') :: ['subcutaneous abscess'] @entity5046 :: ('MESH:D017714', 'Disease') :: ['community-acquired infection'] @entity2762 :: ('MESH:D013717', 'Disease') :: ['septic tenosynovitis', 'tenosynovitis']
@entity2762 :: (MESH:D013717,Disease) :: ['Septic Tenosynovitis']
