坚持面部狗咬伤的感染缓解策略：对一级儿科创伤中心的回顾性分析。

IF 2.3 4区医学 Q2 PEDIATRICS

BMJ Paediatrics Open Pub Date : 2025-09-12 DOI:10.1136/bmjpo-2025-003616

Elizabeth M Waltman, David M Mills, Isabella G Steidley, Michael C Monuteaux, Eric W Fleegler, Amir A Kimia

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引用次数: 0

摘要

狗咬伤是儿科面部损伤的常见原因，并具有显著的感染风险。本回顾性研究评估了一级儿科创伤中心对面部狗咬伤病例的抗生素和修复指南的依从性。356例中，99.2%的患者接受了抗生素治疗；然而，只有90.4%的患者接受了推荐的一线药物治疗，12.6%的患者在急诊科错过了初始剂量。许多处方的剂量不正确或持续时间过长。与整形外科医生相比，儿科急诊医生使用的分层修复术较少。这些结果突出了抗生素处方和撕裂伤修复的差异，表明这两个领域都需要提高质量。

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Adherence to infection mitigation strategies for facial dog bite wounds: a retrospective analysis of a level 1 paediatric trauma centre.

Dog bites are a frequent cause of paediatric facial injuries and present a significant risk of infection. This retrospective study evaluated adherence to antibiotic and repair guidelines in facial dog bite cases at a level 1 paediatric trauma centre. Among 356 cases, 99.2% received antibiotics; however, only 90.4% received the recommended first-line agent and 12.6% missed the initial dose in the emergency department. Many prescriptions had an incorrect dose or prolonged duration. Paediatric emergency medicine clinicians used fewer layered repairs compared to plastic surgeons. These results highlight variation in both antibiotic prescribing and laceration repairs, suggesting the need for quality improvement in both areas.

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来源期刊

BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health

CiteScore

4.10

自引率

3.80%

发文量

124