找错方向了？一项关于犬咬伤伤口处理的调查。
Barking up the wrong tree? A survey of dog bite wound management.
作者信息
Smith M R, Walker A, Brenchley J
机构信息
Emergency Department, Leeds General Infirmary, Leeds, UK.
出版信息
Emerg Med J. 2003 May;20(3):253-5. doi: 10.1136/emj.20.3.253.
Abstract
OBJECTIVES
Several trials have been published examining the role of antibiotics in dog bite wound management. A meta-analysis of these suggests that there is very little benefit to routine antibiotic prescription in these patients. All papers however incorporated rigorous wound care regimens involving large volume irrigation.
METHODS
The authors undertook a telephone survey to investigate wound care and prescribing practice in bite wound management in accident and emergency and minor injury units in the Yorkshire region.
RESULTS
Twenty one departments were contacted. Only 10% of departments routinely irrigate these wounds. Antibiotics are prescribed routinely in 71%.
CONCLUSIONS
Management of dog bite wounds would not seem to be evidence based in most departments in this sample.
摘要
目的
已发表了多项试验，研究抗生素在犬咬伤伤口处理中的作用。对这些试验的一项荟萃分析表明，对这些患者常规使用抗生素几乎没有益处。然而，所有论文都纳入了涉及大量冲洗的严格伤口护理方案。
方法
作者进行了一项电话调查，以调查约克郡地区事故与急救以及轻伤科室在咬伤伤口处理中的伤口护理和开药做法。
结果
联系了21个科室。只有10%的科室常规冲洗这些伤口。71%的科室常规开具抗生素。
结论
在该样本中的大多数科室，犬咬伤伤口的处理似乎并非基于循证医学。
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本文引用的文献
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N Engl J Med. 1999 Jan 14;340(2):85-92. doi: 10.1056/NEJM199901143400202.
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