Lewis K T, Stiles M
Department of Family Medicine, University of Wisconsin Medical School, USA.
Am Fam Physician. 1995 Aug;52(2):479-85, 489-90.
An estimated 1 to 2 million Americans are bitten by cats and dogs each year. Most victims are children who are bitten by dogs. Dog and cat bite wounds may appear trivial, but if they are not managed appropriately, they can become infected and may result in functional impairment. Cat bite wounds on the hand have the greatest risk of infection. Pasteurella multocida, isolated in over half of all cat bite wounds and in 20 to 30 percent of dog bite wounds, can cause serious infection with severe complications. Amoxicillin-clavulanate is recommended for the outpatient treatment of dog and cat bite wounds. Tetanus immunization status and the risk of rabies infection should be routinely addressed in bite wound management.
据估计，每年有100万至200万美国人被猫和狗咬伤。大多数受害者是被狗咬伤的儿童。狗和猫咬伤的伤口可能看起来不严重，但如果处理不当，可能会感染并导致功能障碍。手部的猫咬伤感染风险最大。多杀巴斯德菌在超过一半的猫咬伤伤口以及20%至30%的狗咬伤伤口中被分离出来，可导致严重感染并伴有严重并发症。阿莫西林-克拉维酸被推荐用于门诊治疗狗和猫咬伤的伤口。在咬伤伤口处理中应常规评估破伤风免疫状况和狂犬病感染风险。
