Infections of the Hand, injection injuries-Infections in the Immunocompromised Patient (AM2015)

Video Transcription

Video Summary

In this video, the speaker discusses infection in immunocompromised patients, specifically focusing on hand infections. The speaker highlights the increasing challenge of diagnosing and treating these infections due to changing organisms and the growing number of immunocompromised hosts. Diabetic patients make up a significant portion of the immunocompromised population and are at a higher risk for severe hand infections due to poor wound healing, neuropathy, and peripheral vascular disease. HIV patients are also predisposed to hand infections, which tend to be more severe compared to non-HIV patients. Organ transplant patients and those on anti-tumor necrosis factor medications are also prone to infections in the hands. The speaker emphasizes the importance of early diagnosis and aggressive treatment in immunocompromised patients, especially for conditions such as necrotizing fasciitis, atypical mycobacterium infections, fungal infections, osteomyelitis, and septic arthritis. Surgical debridement and culture-specific antibiotics are primary treatment approaches, often with the involvement of infectious disease consultants. The speaker also provides an overview of the clinical features and diagnostic considerations for each type of infection discussed.

Keywords

infection

immunocompromised patients

hand infections

diabetic patients

HIV patients

organ transplant patients