동물교상과 예방백신

Title
동물교상과 예방백신
Other Titles
Animal bite injuries and vaccination
Authors
강형구
Keywords
Bites and stings; Immunization; Rabies; Wounds and injuries; 교상 및 쏘임; 예방접종; 광견병; 상처 및 손상
Issue Date
2015-03
Publisher
Korean Medical Association
Citation
Journal of the Korean Medical Association, v. 58, NO 3, Page. 227-234
Abstract
Animal bites are a common problem managed by primary physicians and often involve wound infection, neurovascular injury, poor cosmetic outcome, and high medical costs. During clinical assessment, a thorough medical history is acquired, including details of the bite circumstances and the patient's immune status and vaccination history. A meticulous physical examination should be performed in order to identify any injuries to deep structures, in addition to exploring the wound by creating a narrow opening and using diagnostic tools such as radiograph and ultrasound where necessary. Infection is the most problematic complication after a bite injury. Cleaning, irrigation, and debridement are the most important steps in preventing infection. The use of prophylactic antibiotics is controversial, but probably indicated in immunocompromised individuals and in anatomical areas that are more likely to be infected, such as the hand and foot. The decision to close a bite wound must be based on consideration of the benefit of a good cosmetic outcome and the increased risk of infection. In Korea, human rabies has not occurred since 2005, but the transmission of rabies is still a concern with animal bites. The transmission of viral hepatitis, herpes virus and human immunodeficiency virus can occur following human bites. To prevent the transmission of various viruses, healthcare providers should know the guidelines for post-bite exposure prophylaxis.
URI
http://synapse.koreamed.org/DOIx.php?id=10.5124/jkma.2015.58.3.227http://hdl.handle.net/20.500.11754/22839
ISSN
1975-8456; 2093-5951
DOI
http://dx.doi.org/10.5124/jkma.2015.58.3.227
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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