Tuncali Dogan, Bingul Ferruh, Terzioglu Ahmet, Aslan Gurcan
Department of Plastic Reconstructive and Aesthetic Surgery, Ankara Education and Research Hospital, Cebeci, Ankara, Turkey.
Saudi Med J. 2005 May;26(5):772-6.
The aim of this study was to put forward a retrospective analysis of animal bites treated in our department.
A total of 1315 patients treated in the Department of Plastic Reconstructive and Aesthetic Surgery of Ankara Education and Research Hospital, Ankara, Turkey between January 2002 and March 2004 are included in the study. The fundamental treatment approaches were; copious saline irrigation, attentive debridement, appropriate antibiotic protocol, elevation and immobilization.
Bites were produced by tamed (23.4%) and untamed animals (76.6%). The mostly encountered bites were from dogs (76.2%) followed by cats (21.7%). The injury sites were mostly in the lower (35.0%) and upper (33.0%) extremities. Overall infection rate was found to be 4% which were mainly due to cat bites. A very low infection rate (0.03%) was found in the group of patients who did not receive prophylaxis.
Prophylactic antibiotics are recommended for severe injuries. Deep, dirty and defective injuries should be treated with delayed reconstruction. The majority of animal bite injuries in our country are consequence of untamed dogs and cats. The excessive lower extremity injuries can be attributed to this fact.
本研究旨在对我科治疗的动物咬伤进行回顾性分析。
本研究纳入了2002年1月至2004年3月期间在土耳其安卡拉教育与研究医院整形修复与美容外科接受治疗的1315例患者。基本治疗方法包括:大量生理盐水冲洗、仔细清创、适当的抗生素方案、抬高患肢并固定。
咬伤由家养动物(23.4%)和野生动物(76.6%)造成。最常见的咬伤来自狗(76.2%),其次是猫(21.7%)。损伤部位主要在下肢(35.0%)和上肢(33.0%)。总体感染率为4%,主要由猫咬伤所致。在未接受预防性治疗的患者组中发现感染率极低(0.03%)。
对于严重损伤建议使用预防性抗生素。深部、污染且有缺损的损伤应采用延迟重建治疗。我国大多数动物咬伤损伤是由未驯化的狗和猫造成的。下肢损伤过多可归因于此。