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Wound infections secondary to snakebite in central Taiwan
Huang, Li-Wen; Wang, Jiaan-Der; Huang, Jin-An; Hu, Sung-Yuan; Wang, Lee-Min; Tsan, Yu-Tse.
Afiliação
  • Huang, Li-Wen; Taichung Veterans General Hospital. Department of Emergency Medicine. Taichung. TW
  • Wang, Jiaan-Der; Taichung Veterans General Hospital. Division of Pediatric Emergency. Taichung. TW
  • Huang, Jin-An; Taichung Veterans General Hospital. Department of Emergency Medicine. Taichung. TW
  • Hu, Sung-Yuan; Taichung Veterans General Hospital. Division of Toxicology, Department of Emergency Medicine. Division of Toxicology. Taichung. TW
  • Wang, Lee-Min; Yang-Ming University. Division of Emergency Medicine. Taichung. TW
  • Tsan, Yu-Tse; National Taiwan University College of Public Health. Institute of Occupational Medicine and Industrial Hygiene. Taipei. TW
J. venom. anim. toxins incl. trop. dis ; J. venom. anim. toxins incl. trop. dis;18(3): 272-276, 2012. tab
Article em En | LILACS, VETINDEX | ID: lil-649474
Biblioteca responsável: BR68.1
ABSTRACT
There are very few microbiological data on wound infections following snakebites. The objective of this study was to investigate the treatment of secondary infection following snakebites in central Taiwan. Microbiological data and antibiotic sensitivity of wound cultures were retrospectively analyzed from December 2005 to October 2007 in a medical center in central Taiwan. A total of 121 snakebite patients participated in the study. Forty-nine (40.5%) subjects were bitten by cobra (Naja atra); 34 of them had secondary infection, and 24 of them (70.6%) needed surgical intervention. Cobra bites caused more severe bacterial infection than other snakebites. Morganella morganii was the most common pathogen, followed by Aeromonas hydrophila and Enterococcus. Gram-negative bacteria were susceptible to amikacin, trimethoprim/sulfamethoxazole, cefotaxime, cefepime, ciprofloxacin, and piperacillin/tazobactam. Enterococcus were susceptible to ampicillin, gentamicin, penicillin and vancomycin. It is reasonable to choose piperacillin/tazobactam, quinolone, second- or third-generation cephalosporin for empirical therapy following snakebite. Surgical intervention should be considered for invasive soft tissue infections.(AU)
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS / VETINDEX Assunto principal: Mordeduras de Serpentes / Infecções Bacterianas / Infecção dos Ferimentos / Ferimentos e Lesões / Antibacterianos Limite: Humans Idioma: En Revista: J. venom. anim. toxins incl. trop. dis Assunto da revista: TOXICOLOGIA Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Taiwan País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS / VETINDEX Assunto principal: Mordeduras de Serpentes / Infecções Bacterianas / Infecção dos Ferimentos / Ferimentos e Lesões / Antibacterianos Limite: Humans Idioma: En Revista: J. venom. anim. toxins incl. trop. dis Assunto da revista: TOXICOLOGIA Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Taiwan País de publicação: Brasil