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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; Hospital Geral de Veteranos Taichung. Departamento de Medicina de Emergência. Taichung. Taiwan
  • Wang, Jiaan-Der; Hospital Geral de Veteranos Taichung. Division of Pediatric Emergency. Taichung. Taiwan
  • Huang, Jin-An; Hospital Geral de Veteranos Taichung. Departamento de Medicina de Emergência. Taichung <T>aiwan</T>.
  • Hu, Sung-Yuan; Hospital Geral de Veteranos Taichung. Departamento de Medicina de Emergência. Division of Toxicology. Taichung. Taiwan
  • Wang, Lee-Min; Hospital Geral de Veteranos Taichung. Departamento de Medicina de Emergência. Taichung. Taiwan
  • Tsan, Yu-Tse; Universidade Nacional Yang-Ming. Divisão de Medicina de Emergência. Taipei. Taiwan
J. Venom. Anim. Toxins incl. Trop. Dis. ; 18(3): 272-276, 2012. tab
Article em En | VETINDEX | ID: vti-8248
Biblioteca responsável: BR1.1
Localização: 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 Base de dados: VETINDEX Idioma: En Revista: J. Venom. Anim. Toxins incl. Trop. Dis. Ano de publicação: 2012 Tipo de documento: Article

Texto completo: 1 Base de dados: VETINDEX Idioma: En Revista: J. Venom. Anim. Toxins incl. Trop. Dis. Ano de publicação: 2012 Tipo de documento: Article