十五分钟咨询：儿童被哺乳动物咬伤后的处理--从局部伤口护理到预防性抗生素。

IF 1.1 4区医学 Q3 PEDIATRICS

Archives of Disease in Childhood-Education and Practice Edition Pub Date : 2024-09-19 DOI:10.1136/archdischild-2023-326403

Anais Lucile Schneider, Céline Ritter Schenk, Petra Zimmermann

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引用次数: 0

摘要

动物和人类咬伤是急诊就诊的常见原因，尤其是儿童。咬伤最常见的并发症是局部感染。全身感染则更为罕见。降低咬伤后感染风险的关键在于对局部伤口进行处理，可以采用初次缝合或延迟缝合。在这篇综述中，我们总结了目前处理儿童被哺乳动物咬伤的证据，包括适当的检查、伤口处理、预防性和治疗性抗生素的使用以及全身感染的预防。

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Fifteen-minute consultation: Management of mammalian bites in children-from local wound care to prophylactic antibiotics.

Animal and human bites are a common reason for emergency consultation, especially in children. The most common complication of bite wounds is local infection. Systemic infections are much rarer. The key in reducing the risk of infection after a mammalian bite is local wound management with either primary or delayed closure. The benefit of administering prophylactic antibiotics is controversial.In this review, we provide a summary of the current evidence for the management of mammalian bites in children, including recommendations for appropriate investigations, wound management, administration of prophylactic and therapeutic antibiotics and the prevention of systemic infections.

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来源期刊

Archives of Disease in Childhood-Education and Practice Edition 医学-小儿科

CiteScore

1.70

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Archives of Disease in Childhood is an international peer review journal that aims to keep paediatricians and others up to date with advances in the diagnosis and treatment of childhood diseases as well as advocacy issues such as child protection. It focuses on all aspects of child health and disease from the perinatal period (in the Fetal and Neonatal edition) through to adolescence. ADC includes original research reports, commentaries, reviews of clinical and policy issues, and evidence reports. Areas covered include: community child health, public health, epidemiology, acute paediatrics, advocacy, and ethics.