Shark bites in New Caledonia: A retrospective study of 22 hospitalized cases and surgical management

IF 2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2025-09-24 DOI:10.1016/j.injury.2025.112775

Cerise Gosselin , Claude Maillaud , François Jourdel

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引用次数: 0

Abstract

Objective

Although rare, shark bites can cause complex injuries requiring specialized management. This study aims to describe the surgical and medical management of shark bite injuries in New Caledonia.

Methods

A retrospective, descriptive, single-center study including 22 patients hospitalized between 2011 and 2023. Demographic data, attack context, injury types, surgical treatments, infectious complications, and length of hospital stay were analyzed.

Results

The median age was 33.5 years (IQR 15); 82 % were male. Spearfishing was the most common context (32 %). Injuries predominantly affected limbs, with musculoskeletal damage (82 %), nerve injuries (32 %), vascular injuries (27 %), and fractures (18 %). Infectious complications were rare (9 %), but identified pathogens were polymicrobial and marine-derived. The median hospital stay was 5 days (IQR 6, range 1–50 days).

Conclusion

Shark bites require rapid, specialized surgical care. Local organization enabled effective management. Empirical antibiotic therapy should cover marine pathogens.

Level of Evidence

查看原文本刊更多论文

新喀里多尼亚鲨鱼咬伤：22例住院病例和手术治疗的回顾性研究。

目的：虽然罕见，鲨鱼咬伤可造成复杂的伤害，需要专门的管理。本研究旨在描述在新喀里多尼亚鲨鱼咬伤的外科和医疗管理。方法：回顾性、描述性、单中心研究，纳入2011年至2023年间住院的22例患者。分析了人口统计数据、发作背景、损伤类型、手术治疗、感染并发症和住院时间。结果：中位年龄33.5岁（IQR 15）；82%为男性。鱼叉捕鱼是最常见的情况（32%）。损伤主要影响肢体，肌肉骨骼损伤（82%）、神经损伤（32%）、血管损伤（27%）和骨折（18%）。感染并发症是罕见的（9%），但确定的病原体多微生物和海洋来源。中位住院时间为5天（IQR 6，范围1-50天）。结论：鲨鱼咬伤需要快速、专门的外科治疗。本地组织使有效的管理成为可能。经验性抗生素治疗应涵盖海洋病原体。证据等级：四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.