The article presents the data dedicated to comparative analysis of the structure of purulent diseases of the hand, the appointment of empirical antimicrobial therapy to military personnel in terms from 2005 to 2015. There was revealed the dependence between late hospitalization (after 5-10 days). and the frequency of deep hand infection, the spread of infection to the surrounding tissues, increase in the number of complications, reoperations, and duration of treatment. A comparative evaluation of results of treatment, depending on the nature of ongoing antibiotic therapy is revealed. A scheme for the appointment of empirical antimicrobial therapy in patients with complicated forms of purulent diseases of the hand is offered.

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