{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T16:15:28Z","timestamp":1648656928805},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Behandlung von Infektionen der Hand ist ein wichtiger Bestandteil des handchirurgischen Alltags. Trotz der Entwicklung verschiedener Antibiotikapr\u00e4parate bleibt die Operation ein wichtiger Teil der Therapie. Jedoch kann in ausgew\u00e4hlten F\u00e4llen eine konservative Therapie indiziert sein, solange eine konsequente Kontrolle gew\u00e4hrleistet ist. Zielf\u00fchrend ist eine sorgf\u00e4ltige Untersuchung und f\u00fcr die Kalkulation des Erregerspektrums eine genaue Anamnese inkl. Beruf, Hobby, Mensch-Tierkontakt, Auslandsaufenthalt und Nebenerkrankungen. Neben der Wahl des geeigneten Antibiotikums sind eine zeitlich limitierte Immobilisation, k\u00f6rperliche Schonung, Verbandanlage und eine Schmerztherapie wichtige Bestandteile der konservativen Therapie. F\u00fcr die Therapieentscheidung ist die Art der Infektion und die Beachtung der Vorerkrankungen des Patienten wichtig, da bei Immunsuppression mit einer erh\u00f6hten Gefahr f\u00fcr Komplikationen, Mischinfektionen und atypischen Erregern gerechnet werden muss. Klassische Indikationen f\u00fcr eine konservative Therapie stellen das Erysipel, die lokale begrenzte Phlegmone mit Lymphangitis, Fr\u00fchstadien des Panaritiums und der Paronychie dar. Weitere seltenere Indikation sind u. a. Schweinerotlauf, digitale Herpesinfektion und Pilzinfektionen. Nicht geeignet sind in der Regel eine Symptomdauer \u00fcber 2 Tage, Abszesse, ausgedehnte Phlegmonen (v. a. der Beugesehnenscheide), nekrotisierende Fasziitiden und Gelenkempyeme.<\/jats:p>","DOI":"10.1055\/a-1386-4485","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T22:34:27Z","timestamp":1623882867000},"page":"231-236","source":"Crossref","is-referenced-by-count":0,"title":["Indikationen und Grenzen der konservativen Therapie bei Infektionen an der Hand"],"prefix":"10.1055","volume":"53","author":[{"given":"Nico","family":"Schwalfenberg","sequence":"additional","affiliation":[{"name":"Helios Klinikum Bonn\/Rhein-Sieg, Klinik f\u00fcr Hand- und Plastische Chirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Richter","sequence":"additional","affiliation":[{"name":"Malteser Krankenhaus Seliger Gerhard Bonn\/Rhein-Sieg, Klinik f\u00fcr Hand- und Plastische Chirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"key":"ref1","first-page":"1010","volume-title":"Die Chirurgie der Hand","author":"S Bunnel","year":"1959","edition":"1. 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