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动物咬伤相关感染:微生物学与治疗。

Animal bite-associated infections: microbiology and treatment.

机构信息

USAF, Fellow Pediatric Infectious Diseases, National Capitol Consortium 4301 Jones Bridge Road, Bethesda, MD 20814, USA.

出版信息

Expert Rev Anti Infect Ther. 2011 Feb;9(2):215-26. doi: 10.1586/eri.10.162.

Abstract

Human and animal bites may lead to serious infection. The organisms involved tend to originate from the oral cavity of the offending biter, as well as the environment where the injury occurred. A variety of aerobic as well as anaerobic organisms have been isolated from bite wounds, with infection ranging from localized cellulitis to systemic dissemination, leading to severe disease ranging from abscess to bone and joint infection, to endocarditis and brain abscess. Immediate wound management, including recognition of the most commonly associated infectious pathogens, and judicious use of empiric antibiotics are crucial in providing the best care after a bite. Here, we discuss the common animal bite associated infections, and provide the most up to date information regarding their management.

摘要

人咬伤和动物咬伤可导致严重感染。引起感染的病原体通常来自致伤者的口腔,以及受伤部位的环境。从咬伤伤口中可分离出各种需氧菌和厌氧菌,感染范围从局部蜂窝织炎到全身播散,可导致从脓肿到骨和关节感染、心内膜炎和脑脓肿等严重疾病。伤后立即进行伤口处理,包括识别最常见的相关感染病原体,并明智地使用经验性抗生素,对于提供最佳治疗至关重要。在这里,我们讨论常见的动物咬伤相关感染,并提供有关其管理的最新信息。

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