中国犬咬伤治疗急诊专家共识（2019）

中国医师协会急诊医师分会; 中国人民解放军急救医学专业委员会; 北京急诊医学学会; 中国医师协会急诊医师分会急诊外科专业委员会

doi:10.13201/j.issn.1009-5918.2019.09.001

中国犬咬伤治疗急诊专家共识（2019）

- 1. 中国医师协会急诊医师分会;
- 2. 中国人民解放军急救医学专业委员会;
- 3. 北京急诊医学学会;
- 4. 中国医师协会急诊医师分会急诊外科专业委员会;
- 5. 解放军总医院第六医学中心;
- 6. 北京市和平里医院;
- 7. 北京协和医院;
- 8. 中国人民解放军总医院第四医学中心;
- 9. 陆军军医大学西南医院

详细信息

作者简介:
陈瑞丰,解放军总医院第六医学中心,E-mail:cc_rrff@126.com;陈庆军,北京市和平里医院,E-mail:cqj555@163.com

中图分类号: R646

收稿日期: 2019-07-17

Expert consensus on treatment of dog bites（2019）

Received Date: 17 July 2019

摘要

- 犬 /
- 咬伤 /
- 狂犬病 /
- 免疫预防 /
- 专家共识
- dog /
- bites /
- rabies /
- immunoprophylaxis /
- expert consensus

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参考文献(51)

[1]	WHO.WHO Expert Consultation on Rabies,third report:WHO Technical Series Report No.1012[R].Geneva:WHO,2018.
[2]	中国医师协会急诊医师分会,中国人民解放军急救医学专业委员会,北京急诊医学学会,中国急诊专科医联体,中国医师协会急诊医师分会急诊外科专业委员会.成人破伤风急诊预防及诊疗专家共识[J].中华急诊医学杂志,2018,27(12):1323-1332.
[3]	Hodge D,Tecklenburg FW.Bites and stings Textbook of Pediatric Emergency Medicine,5th[M].Fleisher GR,Ludwig S,Henretig FM,eds.Williams & Wilkins:Philadelphia,2006:1045.
[4]	陈瑞丰,王立秋,黄立嵩,等.犬咬伤创口清创的研究[J].中国急救复苏与灾害医学,2010,5(1):23-24.
[5]	Sagerman PJ.Wounds[J].Pediatr Rev,2005,26(2):43-49.
[6]	周航,李昱,牟笛,等.中国2012年狂犬病流行特征分析[J].中华流行病学杂志,2015,36(3):205-209.
[7]	宋淼,陶晓燕,李晓龙,等.1996-2007年和2008-2014年中国狂犬病分布特点对比分析[J].中华实验和临床病毒学杂志,2015,29(4):300-302.
[8]	李艳荣,祝丽玲,朱武洋,等.中国2016年狂犬病流行病学特征分析[J].中华流行病学杂志,2018,39(1):40-43.
[9]	刘淑清,陶晓燕,于鹏程,等.中国2015年狂犬病流行特征分析[J].中华实验和临床病毒学杂志,2016,30(6):537-540.
[10]	周航,牟笛,李昱,等.2013年中国狂犬病流行特征分析[J].国际病毒学杂志,2015,22(3):145-148.
[11]	中国医学救援协会动物伤害救治分会专家组.动物致伤专家共识[J].中国急救复苏与灾害医学杂志,2018,13(11):1056-1061.
[12]	Chen E,Hornig S,Shepherd SM,et al.Primary closure of mammalian bites[J].Acad Emerg Med,2000,7(2):157-161.
[13]	陈瑞丰,王立秋,黄立嵩,等.犬与猫咬伤创口特点及感染的研究[J].转化医学杂志,2013,2(4):219-221.
[14]	Kennedy SA,Stoll LE,Lauder AS.Human and Other Mammalian Bite Injuries of the Hand:Evaluation and Management[J].J Am Acad Orthop Surg,2015,23(1):47-57.
[15]	Kannikeswaran N,Kamat D.Mammalian bites[J].Clin Pediatr(Phila),2009,48(2):145-148.
[16]	Ellis R,Ellis C.Dog and cat bites[J].Am Fam Physician,2014,90(4):239-243.
[17]	Ambro BT,Wright RJ,Heffelfinger RN.Management of bite wounds in the head and neck[J].Facial Plast Surg,2010,26(6):456-463.
[18]	Akingba AG,Robinson EA,Jester AL.Management of vascular trauma from dog bites[J].J Vasc Surg,2013,58(5):1346-1352.
[19]	Tanwar YS,Jaiswal A,Lal H,et al.Compound posterior cruciate ligament and popliteal artery injury due to dog bite:A case report[J].Acta Orthop Traumatol Turc,2017,51(6):499-502.
[20]	Ng ZY,Eberlin KR,Lin T,et al.Reconstruction of Pediatric Scalp Avulsion Injuries Af-ter Dog Bites[J].J Craniofac Surg,2017,28(5):1282-1285.
[21]	Macedo JL,Rosa SC,Queiroz MN,et al.Reconstruction of face and scalp after dog bites in children[J].Rev Col Bras Cir,2016,43(6):452-457.
[22]	Alluri RK,Pannell W,Heckmann N,et al.Predictive Factors of Neurovascular and Ten-don Injuries Following Dog Bites to the Upper Extremity[J].Hand(N Y),2016,11(4):469-474.
[23]	Lim JS,Byun JH,Min KH,et al.Osteomyelitis following Domestic Animal Bites to the Hand:Two Case Reports and Practical Guidelines[J].Arch Plast Surg,2016,43(6):590-594.
[24]	Goldman A,Wollina U.Dog bite injury-alar repair with composite graft[J].Wien Med Wochenschr,2018,168(9-10):261-264.
[25]	Saul D,Dresing K.Surgical treatment of bites[J].Oper Orthop Traumatol,2018,30(5):321-341.
[26]	Sultanov AA,Abdrakhmanov SK,Abdybekova AM,et al.Rabies in Kazakhstan[J].PLoS Negl Trop Dis,2016,10(8):e0004889.
[27]	Pomares G,Huguet S,Dap F,et al.Contaminated wounds:Effectiveness of debridement for reducing bacterial load[J].Hand Surg Rehabil,2016,35(4):266-270.
[28]	Ambro BT,Wright RJ,Heffelfinger RN.Management of bite wounds in the head and neck[J].Facial Plast Surg,2010,26(6):456-463.
[29]	Akingba AG,Robinson EA,Jester AL.Management of vascular trauma from dog bites[J].J Vasc Surg,2013,58(5):1346-1352.
[30]	Xiaowei Z,Wei L,Xiaowei H,et al.Comparison of primary and delayed wound closure of dog-bite wounds[J].Vet Comp Orthop Traumatol,2013,26(3):204-207.
[31]	Paschos NK,Makris EA,Gantsos A,et al.Primary closure versus non-closure of dog bite wounds[J].Injury,2014,45(1):237-240.
[32]	Mensa M,Cubitt JJ,Javed M,et al.Dog bites and diabetic peripheral neuropathy:a dan-gerous combination[J].BMJ Case Rep,2017,23:2017.
[33]	Touzet-Roumazeille S,Jayyosi,L,Plenier,Y,et al.Surgical management of animal bites in children[J].Ann Chir Plast Esthet,2016,61(5):560-567.
[34]	中华人民共和国国家卫生和计划生育委员会.狂犬病暴露预防处置工作规范(2009年版)[S].
[35]	周航,李昱,陈瑞丰,等.狂犬病预防控制技术指南(2016版)[J].中华流行病学杂志,2016,37(2):139-163.
[36]	Quinn JV,McDermott D,Rossi J,et al.Randomized controlled trial of prophylactic antibiotics for dog bites with refined cost model[J].West J Emerg Med,2010,11(5):435-441.
[37]	Kramer A,Assadian O,Frank M,et al.Prevention of post-operative infections after surgical treatment of bite wounds[J].GMS Krankenhhyg Interdiszip,2010,5(2):155.
[38]	Pomares G,Huguet S,Dap F,et al.Contaminated wounds:Effectiveness of debridement for reducing bacterial load[J].Hand Surg Rehabil,2016,35(4):266-270.
[39]	Lau JSY,Korman TM,Yeung A,et al.Bacteroides pyogenes causing serious human wound infection from animal bites[J].Anaerobe,2016,42:172-175.
[40]	Philipsen TE,Molderez C,Gys T.Cat and dog bites.what to do?guidelines for the treatment of cat and dog bites in humans[J].Acta Chir Belg,2006,106(6):692-695.
[41]	Gilbert DN,Henry F,George M,et al.The Sanford Guide to Antimicrobial Therapy 2018[M].48th ed.ISBN-13:978-1944272067.ISBN-10:1944272062.
[42]	Fleisher GR.The management of bite wounds[J].N Engl J Med,1993,340(2):138-140.
[43]	Reveneau E,Cottin P,Rasuli A.Two decades of pharmacovigilance and clinical experience with highly purified rabies immunoglobulin F(ab')2 fragments[J].Expert Rev Vaccines,2017,16(3):273-287.
[44]	Stevens DL,Bisno AL,Chambers HF.et al.Practice guidelines for the diagnosis and man-agement of skin and soft-tissue infections[J].Clin Infect Dis,2005,41(10):1373-1406.
[45]	Bassetti M,Baguneid M,Bouza E.European perspective and update on the management of complicated skin and soft tissue infections due to methicillin-resistant Staphylococcus aureus af-ter more than 10 years of experience with linezolid[J].Clin Microbiol Infect,2014,20(Suppl 4):3-18.
[46]	Boat BW,Dixon CA,Pearl E,et al.Pediatric dog bite victims:a need for a continuum of care[J].Clin Pediatr,2012,51(5):473-437.
[47]	Sultanov AA,Abdrakhmanov SK,Abdybekova AM,et al.Rabies in Kazakhstan[J].PLoS Negl Trop Dis,2016,10(8):e0004889.
[48]	Wallace RM,Reses H,Franka R,et al.Establishment of a canine rabies burden in Haiti through the implementation of a novel surveillance program[J].PLoS Negl Trop Dis,2015,9(11):e0004245.
[49]	World Health Organization.Rabies vaccines:WHO position paper,April 2018-Recommendations[J].Vaccine,2018,36(37):5500-5503.
[50]	Lapiz SM,Miranda ME,Garcia RG,et al.Implementation of an intersectoral program to eliminate human and canine rabies:the Bohol Rabies Prevention and Elimination Project[J].PLoS Negl Trop Dis,2012,6(12):e1891.
[51]	Fenelon N,Dely P,Katz MA,et al.Knowledge,attitudes and practices regarding rabies risk in community members and healthcare professionals:Pétionville,Haiti,2013[J].Epidemiol Infect,2017,145(8):1624-1634.