Management of bite wounds in children and adults—an analysis of over 5000 cases at a level I trauma centre

Autor: Florian M. Kovar, Manuela Jaindl, Christiane Thallinger, Gerhard Oberleitner, Georg Endler
Rok vydání: 2015
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Dermatologic Surgical Procedures
Pain
Young Adult
03 medical and health sciences
Age Distribution
0302 clinical medicine
Trauma Centers
Risk Factors
parasitic diseases
Prevalence
medicine
Humans
Pain Management
Bites and Stings
030212 general & internal medicine
Practice Patterns
Physicians'
Sex Distribution
Young adult
Antibiotic prophylaxis
Child
Aged
Retrospective Studies
Animal Bites
Wound Closure Techniques
business.industry
Infant
Newborn
Infant
030208 emergency & critical care medicine
Retrospective cohort study
General Medicine
Emergency department
Antibiotic Prophylaxis
Middle Aged
Combined Modality Therapy
Bite wounds
Anti-Bacterial Agents
Surgery
Treatment Outcome
Austria
Child
Preschool
Wound Infection
Population study
Female
business
Trauma surgery
Zdroj: Wiener klinische Wochenschrift. 128:367-375
ISSN: 1613-7671
0043-5325
DOI: 10.1007/s00508-015-0900-x
Popis: Bite wounds are among the commonest types of trauma to which man is the subject. They account for 5 % of the total traumatic wounds evaluated in the emergency department (ED) and approximately 1 % of all the ED visits. Early estimation of infection risk, adequate antibiotic therapy and if indicated surgical treatment are the cornerstones of successful cure of bite wounds. A total of 5248 consecutive trauma patients were collected prospectively and analysed retrospectively over a period of 15 years in this study at a level I trauma centre, Department of Trauma Surgery, Medical University of Vienna, Austria. The mean age was 33.8 years (range 0–97), 2620 (49.9 %) were male and 2628 (50.1 %) were female individuals. In our study population, a total of 2530 dog bites (48.2 %), 930 cat bites (17.8 %), 357 other animal bites (6.8 %), 426 human bites (8.1 %) and 1005 human self-bites (19.2 %) have been observed. A total of 995 wounds (19.0 %) have been infected. Surgery was done in 132 wounds (2.5 %). We could show a six times higher infection rate of cat bites compared to dog bites. Human bites showed a total infection rate of 8.2 %. Observed infection rate of puncture wounds and wounds greater than 3 cm was 1.5 times higher than for all other wounds in the present study. Total infection rates within 24 h to antibiotic administration was 29.3 %, compared to 65.0 %
Databáze: OpenAIRE
Externí odkaz: