DOG-BITE INJURIES AT A BANGKOK TEACHING HOSPITAL

被引:32
作者
BHANGANADA, K
WILDE, H
SAKOLSATAYDORN, P
OONSOMBAT, P
机构
[1] MAHIDOL UNIV, SIRIRAJ HOSP, DEPT SOCIAL & PREVENT MED, BANGKOK, THAILAND
[2] CHULALONGKORN UNIV, FAC MED, THAI RED CROSS SOC, QUEEN SAOVABHA MEM INST, BANGKOK 10330, THAILAND
[3] CHULALONGKORN UNIV, FAC MED, DEPT MED, BANGKOK 10330, THAILAND
关键词
DOG-BITE INJURY; BITE INJURY; ANIMAL BITE; EPIDEMIOLOGY; THAILAND; RABIES;
D O I
10.1016/0001-706X(93)90082-M
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Thailand has a large domestic and stray dog population and Buddhist cultural beliefs encourage feeding and protection of stray animals. Dog bites are common injuries encountered in emergency rooms throughout the country. A prospective study of such bites seen at a teaching hospital in Bangkok revealed that: (1) dog bites represent 5.3% of injuries seen in the emergency room; (2) the majority occur on the street, are inflicated by stray dogs and are interpreted by the victim as unprovoked. Children and teenagers account for 55% of the victims. The lower extremities (54%) and upper extremities (20%) were the most common sites for bites. 9% of patients were bitten on the face or head. In addition to pain, risk of infection (approximately 13%) and the significant cost of caring for these injuries, victims often experienced prolonged anxiety because of to the generally known risk of rabies in Thailand. Due to the high cost of imported immune globulins and vaccines, rabies exposures are not always managed optimally in Asia.
引用
收藏
页码:249 / 255
页数:7
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