Tjong Joe Wai R, van Zeijl J H
Afd. Plastische Chirurgie, Academisch Ziekenhuis Rotterdam-Dijkzigt.
Ned Tijdschr Geneeskd. 1991 Jan 26;135(4):138-40.
Annually 50,000 to 100,000 animal bites are seen by physicians in the Netherlands. Infections of these bite wounds frequently occur. Pasteurella multocida is one of the main causes of these infections and many serious complications may occur. We present 3 patients with disturbances in wound healing after animal bites or scratches due to infection with P. multocida. In view of the high infection ratio after cat bites we advise giving amoxicillin/clavulanic acid (Augmentin) for 5 days as prophylaxis. According to the literature prophylaxis for dog bites is not necessary. However, fatal complications after dog bites due to infections with Capnocytophaga canimorsus (DF-2) support those who prefer to give antibiotics after these bites also.
在荷兰，医生每年会接诊50000至100000例动物咬伤病例。这些咬伤伤口经常发生感染。多杀巴斯德菌是这些感染的主要原因之一，可能会出现许多严重并发症。我们报告了3例因感染多杀巴斯德菌而导致动物咬伤或抓伤后伤口愈合出现问题的患者。鉴于猫咬伤后的感染率较高，我们建议给予阿莫西林/克拉维酸（奥格门汀）5天进行预防。根据文献，狗咬伤后无需进行预防。然而，犬咬二氧化碳嗜纤维菌（DF-2）感染导致的狗咬伤后致命并发症也支持那些主张在狗咬伤后也使用抗生素的人。
