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本文引用的文献

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Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon.隐匿人群中的蛇伤:巴西亚马孙偏远西部沿河地区的横断面调查。
PLoS Negl Trop Dis. 2021 Sep 9;15(9):e0009758. doi: 10.1371/journal.pntd.0009758. eCollection 2021 Sep.
2
Antibiotic therapy for snakebite envenoming.蛇咬伤中毒的抗生素治疗。
J Venom Anim Toxins Incl Trop Dis. 2020 Feb 3;26:e20190098. doi: 10.1590/1678-9199-JVATITD-2019-0098. eCollection 2020.
3
Predicting acute renal failure in Bothrops snakebite patients in a tertiary reference center, Western Brazilian Amazon.预测巴西西部亚马逊地区三级参考中心的矛头蝮蛇咬伤患者的急性肾衰竭。
PLoS One. 2018 Aug 17;13(8):e0202361. doi: 10.1371/journal.pone.0202361. eCollection 2018.
4
Poor efficacy of preemptive amoxicillin clavulanate for preventing secondary infection from Bothrops snakebites in the Brazilian Amazon: A randomized controlled clinical trial.在巴西亚马逊地区,预防性使用阿莫西林克拉维酸对预防矛头蝮蛇咬伤继发感染疗效不佳:一项随机对照临床试验。
PLoS Negl Trop Dis. 2017 Jul 10;11(7):e0005745. doi: 10.1371/journal.pntd.0005745. eCollection 2017 Jul.
5
Bacteriology of Naja atra Snakebite Wound and Its Implications for Antibiotic Therapy.眼镜蛇咬伤伤口的细菌学及其对抗生素治疗的意义
Am J Trop Med Hyg. 2016 May 4;94(5):1129-35. doi: 10.4269/ajtmh.15-0667. Epub 2016 Mar 14.
6
Older Age and Time to Medical Assistance Are Associated with Severity and Mortality of Snakebites in the Brazilian Amazon: A Case-Control Study.高龄及获得医疗救助的时间与巴西亚马逊地区蛇咬伤的严重程度和死亡率相关:一项病例对照研究。
PLoS One. 2015 Jul 13;10(7):e0132237. doi: 10.1371/journal.pone.0132237. eCollection 2015.
7
Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America.美国传染病学会关于皮肤和软组织感染的诊断和管理实践指南:2014 年更新。
Clin Infect Dis. 2014 Jul 15;59(2):147-59. doi: 10.1093/cid/ciu296. Epub 2014 Jun 18.
8
Wound infections secondary to snakebite.蛇咬伤继发的伤口感染。
J Infect Dev Ctries. 2009 Apr 30;3(3):221-3. doi: 10.3855/jidc.39.
9
[Epidemiological and clinical aspects of snake bites in the municipalities of the state of Amazonas, Brazil].[巴西亚马孙州各市蛇咬伤的流行病学和临床方面]
Rev Soc Bras Med Trop. 1999 Nov-Dec;32(6):637-46.
10
[Bacteriologic study of abscesses caused by bites of snakes of the genus Bothrops].[关于具窍蝮蛇属蛇咬伤所致脓肿的细菌学研究]
Rev Inst Med Trop Sao Paulo. 1989 Nov-Dec;31(6):363-7. doi: 10.1590/s0036-46651989000600001.

在巴西亚马逊的一家三级转诊中心治疗蛇伤后的继发感染情况。

Secondary infection profile after snakebite treated at a tertiary referral center in the Brazilian Amazon.

机构信息

Universidade do Estado do Amazonas, Programa de Pós-Graduação em Ciências Aplicadas à Dermatologia, Manaus, AM, Brasil.

Fundação Alfredo da Matta, Diretoria de Ensino e Pesquisa, Manaus, AM, Brasil.

出版信息

Rev Soc Bras Med Trop. 2022 Feb 25;55:e0244. doi: 10.1590/0037-8682-0244-2021. eCollection 2022.

DOI:10.1590/0037-8682-0244-2021
PMID:35239899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8909433/
Abstract

BACKGROUND

Bothrops envenomations can often lead to complications, such as secondary infections.

METHODS

This cross-sectional study analyzed the medical records of all patients diagnosed with snakebite.

RESULTS

A total of 127 patients were included. Clindamycin was the most commonly prescribed antibiotic, with 105 patients (82.7%) receiving it as the primary antibiotic regimen. In 31 (24.4%) individuals, the first-choice antibiotic did not cease the infection.

CONCLUSIONS

Secondary infection is an important complication resulting from snakebites, and evidence-based management of this complication can contribute to better clinical outcomes.

摘要

背景

巴西矛头蝮蛇咬伤常可导致并发症,如继发感染。

方法

本横断面研究分析了所有诊断为蛇咬伤患者的病历。

结果

共纳入 127 例患者。克林霉素是最常被开的抗生素,105 例(82.7%)患者将其作为主要抗生素方案。31 例(24.4%)患者的首选抗生素未能控制感染。

结论

继发感染是蛇咬伤的一个重要并发症,对该并发症进行基于证据的管理有助于改善临床结局。