TY  - JOUR
PY  - 2022//
TI  - Cross-sectional analysis of paronychias in the National Electronic Injury Surveillance System 1999-2018
JO  - Skin appendage disorders
A1  - Desai, Amar D.
A1  - Wang, Yu
A1  - Nadarajah, Cajeton Clint
A1  - Lipner, Shari R.
SP  - 454
EP  - 461
VL  - 8
IS  - 6
N2  - INTRODUCTION: Paronychia is the most common hand infection. Prior paronychia studies were limited by small patient numbers. We conducted a national-level analysis over two decades, analyzing demographics, etiologies, and trends in paronychia cases. <br><br>METHODS: We conducted a retrospective analysis of paronychia cases in the 1999-2018 National Electronic Injury Surveillance System database. Sex, race, age, and cause were recorded and compared using χ(2), ANOVA, and t tests. Multivariable linear regression analysis assessed changes in age, weight, and sex over time. <br><br>RESULTS: We analyzed a total of 2,512 cases, with an average age of 27.6 ± 20.6 years, 45.5% females, and 25.6% white and 28.6% black patients. In multivariable linear regression, both age and weight significantly increased over time. Manicuring was the most common etiology (30.9%), increasing in incidence over time and with a higher frequency in adults (p < 0.0001) and females (p < 0.0001). There was a significant decrease in pediatric paronychia cases over time, particularly in 0- to 4-year-olds. Possible limitations include missed paronychia cases or additional non-paronychia cases due to improper coding, infrequent race reporting, and inability to analyze treatments or distinguish between paronychia subtypes. <br><br>CONCLUSIONS: Paronychia cases were associated with increased age and weight over time with different presentations by age. Manicuring represents the largest growing paronychia etiology.<p />  <p>Language: en</p>
LA  - en
SN  - 2296-9195
UR  - http://dx.doi.org/10.1159/000525032
ID  - ref1
ER  -