アブストラクト
| Title | 動物咬傷の初期治療と感染予防 |
|---|---|
| Subtitle | 特集 レジデント向け ペット咬創への初期治療と機能・整容の改善[1] - 統計・総論, その他 - 総論 (2) |
| Authors | 荒川篤宏*, 鈴木義久*, 岡野純子*, 荻野秀一* |
| Authors (kana) | |
| Organization | *滋賀医科大学医学部形成外科学講座 |
| Journal | 形成外科 |
| Volume | 64 |
| Number | 2 |
| Page | 138-142 |
| Year/Month | 2021 / 2 |
| Article | 報告 |
| Publisher | 克誠堂出版 |
| Abstract | 「はじめに」動物咬傷は通常の創傷とは異なり, 創感染の恐れがあるため二次治癒が基本とされる. しかし, 二次治癒では治癒に時間がかかることと, 整容面の障害を生じる可能性がある. 動物咬傷における初期治療では, 一次閉創・二次治癒の選択と抗生剤による感染予防が重要となる. 動物咬傷に対する初期治療と動物が原因になる感染症および抗生剤使用について述べる. 「I 統計」環境省の統計によると, わが国における2018年度のイヌ咬傷の報告件数は4,384件(うちヒト以外257件)で, 99%は飼い犬によるものであった. 報告されていないものもあり, 実際にはさらに多くのイヌ咬傷件数があることが想像される. ネコ咬傷は統計されていないため発生件数は不明だが, 北アメリカでは動物咬傷の90%がイヌ, 10%がネコと報告されている. |
| Practice | 臨床医学：外科系 |
| Keywords | 動物咬傷, 感染予防, 一次縫合 |
- 全文ダウンロード： 従量制、基本料金制の方共に2,013円(税込) です。
参考文献
- 1) 環境省:環境省統計資料動物愛護管理行政事務提要(令和元年度版) 犬による咬傷事故状況(全国計:昭和49年度〜平成30年度). https://www.env.go.jp/nature/dobutsu/aigo/2_data/statics/files/r01_3_3_1.pdf
- 2) Ellis R, Ellis C: Dog and cat bites. Am Fam Physician 90: 239-243, 2014
- 3) Aziz H, Rhee P, Pandit V, et al: The current concepts in management of animal (dog, cat, snake, scorpion) and human bite wounds. J Trauma Acute Care Surg 78: 641-648, 2015
- 4) Jaindl M, Grunauer J, Platzer P, et al: The management of bite wounds in children--a retrospective analysis at a level I trauma centre. Injury 43: 2117, 2012
- 5) Jaindl M, Oberleitner G, Endler G, et al: Management of bite wounds in children and adults-an analysis of over 5000 cases at a level I trauma centre. Wien Klin Wochenschr 128: 367, 2016
残りの26件を表示する
- 6) Fleisher GR: The management of bite wounds. N Engl J Med 340: 138, 1999
- 7) Paschos NK, Makris EA, Gantsos A, et al: Primary closure versus non-closure of dog bite wounds. a randomised controlled trial. Injury 45: 237, 2014
- 8) Maimaris C, Quinton DN: Dog-bite lacerations: a controlled trial of primary wound closure. Arch Emerg Med 5: 156, 1988
- 9) Chen E, Hornig S, Shepherd SM, et al: Primary closure of mammalian bites. Acad Emerg Med 7: 157, 2000
- 10) Rui-feng C, Li-song H, Ji-bo Z, et al: Emergency treatment on facial laceration of dog bite wounds with immediate primary closure: a prospective randomized trial study. BMC Emerg Med 13: S2, 2013
- 11) Talan DA, Citron DM, Abrahamian FM, et al: Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group. N Engl J Med 340: 85, 1999
- 12) Goldstein EJ, Citron DM, Wield B, et al: Bacteriology of human and animal bite wounds. J Clin Microbiol 8: 667, 1978
- 13) Owen CR, Buker EO, Bell JF, et al: Pasteurella multocida in animals' mouths. Rocky Mt Med J 65: 45, 1968
- 14) Heym B, Jouve F, Lemoal M, et al: Pasteurella multocida infection of a total knee arthroplasty after a "dog lick". Knee Surg Sports Traumatol Arthrosc 14: 993, 2006
- 15) Lenne A, Lafosse L: Breast prosthesis infection and pets: a case report and review of the literature. Int J Surg Case Rep 22: 98-100, 2016
- 16) Weber DJ, Wolfson JS, Swartz MN, et al: Pasteurella multocida infections. Report of 34 cases and review of the literature. Medicine (Baltimore) 63: 133, 1984
- 17) American Academy of Pediatrics: Pasturella infections. Red Book: 2015 Report of the Committee on Infectious Diseases (30th ed), edited by Kimberlin DW, et al, pp596, American Academy of Pediatrics, Elk Grove Village, 2015
- 18) Umeda K, Hatakeyama R, Abe T, et al: Distribution of Capnocytophaga canimorsus in dogs and cats with genetic characterization of isolates. Vet Microbiol 171: 153, 2014
- 19) Suzuki M, Kimura M, Imaoka K, et al: Prevalence of Capnocytophaga canimorsus and Capnocytophaga cynodegmi in dogs and cats determined by using a newly established species-specific PCR. Vet Microbiol 144: 172, 2010
- 20) van Dam AP, van Weert A, Harmanus C, et al: Molecular characterization of Capnocytophaga canimorsus and other canine Capnocytophaga spp. and assessment by PCR of their frequencies in dogs. J Clin Microbiol 47: 3218, 2009
- 21) Mally M, Paroz C, Shin H, et al: Prevalence of Capnocytophaga canimorsus in dogs and occurrence of potential virulence factors. Microbes Infect 11: 509, 2009
- 22) Pers C, Gahrn-Hansen B, Frederiksen W: Capnocytophaga canimorsus septicemia in Denmark, 1982-1995: review of 39 cases. Clin Infect Dis 23: 71, 1996
- 23) Pers C, Gahrn-Hansen B, Frederiksen W: Capnocytophaga canimorsus septicemia in Denmark, 1982-1995: review of 39 cases. Clin Infect Dis 23: 71, 1996
- 24) Kullberg BJ, Westendorp RG, van't Wout JW, et al: Purpura fulminans and symmetrical peripheral gangrene caused by Capnocytophaga canimorsus (formerly DF-2) septicemia--a complication of dog bite. Medicine (Baltimore) 70: 287, 1991
- 25) Jacobs RF, Schutze GE: Bartonella henselae as a cause of prolonged fever and fever of unknown origin in children. Clin Infect Dis 26: 80, 1998
- 26) Bass JW, Freitas BC, Freitas AD, et al: Prospective randomized double blind placebocontrolled evaluation of azithromycin for treatment of cat-scratch disease. Pediatr Infect Dis J 17: 447, 1998
- 27) Stevens DL, Bisno AL, Chambers HF, et al: Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. Clin Infect Dis 59: 147, 2014
- 28) Morgan M, Palmer J: Dog bites. BMJ 334: 413, 2007
- 29) Tabaka ME, Quinn JV, Kohn MA, et al: Predictors of infection from dog bite wounds: which patients may benefit from prophylactic antibiotics? Emerg Med J 32: 860, 2015
- 30) Cummings P: Antibiotics to prevent infection in patients with dog bite wounds: a metaanalysis of randomized trials. Ann Emerg Med 23: 535, 1994
- 31) Medeiros I, Saconato H: Antibiotic prophylaxis for mammalian bites. Cochrane Database Syst Rev CD001738, 2001
