Hayvan Isırıkları ve Bağışıklama
Özet
Hayvan ısırıkları, dünya genelinde önemli bir halk sağlığı sorunu olup, acil tıp pratiğinde dikkate alınması gereken kritik bir durumdur. Hayvanların neden olduğu yaralanmalar, bu yaralanmalardan kaynaklanan veya hayvanlardan bulaşan enfeksiyonlar nedeni ile morbidite ve mortaliteye yol açabilmektedir. Bu bölüm, hayvan ısırıklarının acil tedavi yöntemleri ve profilaktik aşılama programlarını kapsamaktadır. Acil serviste ısırık yaralarının değerlendirilmesi ve yönetimi üzerinde durulmaktadır. Yaraların temizlenmesi, enfeksiyon riskinin azaltılması ve uygun temel tedavi yöntemleri açıklanmaktadır. Ayrıca, kuduz riski taşıyan ısırıklar için acil aşılama protokolleri detaylandırılmaktadır. Kuduz, hayvanlardan insanlara bulaşabilen ölümcül bir hastalık olduğu için, zamanında ve etkili bir aşı uygulaması hayati öneme sahiptir. Hayvan ısırıklarında temel yaklaşım ısırıkların önlenmesi üzerinedir. Bu bölüm, klinik uygulayıcılar için hayvan ısırıklarıyla karşılaştıklarında hızlı ve etkili bir tanı ve tedavi süreci geliştirmelerine yardımcı olacak güncel bilgiler ve kılavuzlar sunmaktadır.
Referanslar
Cottrell DB, Martin CKM. Animal and human bites: Navigating evaluation and care. Nurse Pract. 2024;49(6):21-27. Doi:10.1097/01.NPR.0000000000000184
Schlein S, Park A, Sethi S. Animal Bites and Attacks. Emerg Med Clin North Am. 2024;42(3):639-652. doi:10.1016/j.emc.2024.02.019
Benson LS, Edwards SL, Schiff AP, Williams CS, Visotsky JL. Dog and cat bites to the hand: treatment and cost assessment. J Hand Surg Am. 2006;31(3):468-473. doi:10.1016/j.jhsa.2005.12.011
Amparo ACB, Jayme SI, Roces MCR, et al. The evaluation of Animal Bite Treatment Centers in the Philippines from a patient perspective. PLoS One. 2018;13(7):e0200873. Published 2018 Jul 26. doi:10.1371/journal.pone.0200873
Maniscalco K, Edens MA. Animal Bites. In: StatPearls. Treasure Island (FL): StatPearls Publishing; September 26, 2022. PMID: 28613602.Bookshelf ID: NBK430852.
Türkiye C Sağlık bakanlığı kuduz profilaksi rehberi 2019. (15.09.2024 tarihinde https://hsgm.saglik.gov.tr/depo/birimler/zoonotik-ve-vektorel-hastaliklar-db/Dokumanlar/Rehberler/Kuduz_Profilaksi_Rehberi.pdf adresinden ulaşılmıştır.)
Savu AN, Schoenbrunner AR, Politi R, Janis JE. Practical Review of the Management of Animal Bites. Plast Reconstr Surg Glob Open. 2021;9(9):e3778. Published 2021 Sep 9. doi:10.1097/GOX.0000000000003778
Khazaei S, Karami M, Veisani Y, Solgi M, Goodarzi S. Epidemiology of Animal Bites and Associated Factors with Delay in Post-Exposure Prophylaxis; A Cross-Sectional Study. Bull Emerg Trauma. 2018;6(3):239-244. doi:10.29252/beat-060309
Holzer KJ, Vaughn MG, Murugan V. Dog bite injuries in the USA: prevalence, correlates and recent trends. Inj Prev. 2019;25(3):187-190. doi:10.1136/injuryprev-2018-042890
Emet M, Beyhun NE, Kosan Z, Aslan S, Uzkeser M, Cakir ZG. Animal-related injuries: epidemiological and meteorological features. Ann Agric Environ Med. 2009;16(1):87-92.
Ellis R, Ellis C. Dog and cat bites. Am Fam Physician. 2014;90(4): 239-243.
Hurt JB, Maday KR. Management and treatment of animal bites. JAAPA. 2018;31(4):27-31. doi:10.1097/01.JAA.0000531049.59137.cd.
Griego RD, Rosen T, Orengo IF, Wolf JE. Dog, cat, and human bites: a review. J Am Acad Dermatol. 1995;33(6):1019-1029.
Quirk JT. Non-fatal dog bite injuries in the U.S.A., 2005-2009. Public Health. 2012;126(4):300-302. doi:10.1016/j.puhe.2012.01.010
Basco AN, McCormack ER, Basco WT Jr. Age- and Sex-Related Differences in Nonfatal Dog Bite Injuries Among Persons Aged 0-19 Treated in Hospital Emergency Departments, United States, 2001-2017. Public Health Rep. 2020;135(2):238-244. doi:10.1177/0033354920904072
Reisner IR, Nance ML, Zeller JS, Houseknecht EM, Kassam-Adams N, Wiebe DJ. Behavioural characteristics associated with dog bites to children presenting to an urban trauma centre. Inj Prev. 2011;17(5):348-353. doi:10.1136/ip.2010.029868
Chen E, Hornig S, Shepherd SM, Hollander JE. Primary closure of mammalian bites. Acad Emerg Med. 2000;7(2):157-161. doi:10.1111/j.1553-2712.2000.tb00519.x
Freshwater A. Why your housecat's trite little bite could cause you quite a fright: a study of domestic felines on the occurrence and antibiotic susceptibility of Pasteurella multocida. Zoonoses Public Health. 2008;55(8-10):507-513. doi:10.1111/j.1863-2378.2008.01152.x
Palacio J, León-Artozqui M, Pastor-Villalba E, Carrera-Martín F, García-Belenguer S. Incidence of and risk factors for cat bites: a first step in prevention and treatment of feline aggression. J Feline Med Surg. 2007;9(3):188-195. doi:10.1016/j.jfms.2006.11.001
Dendle C, Woolley IJ, Korman TM. Rat-bite fever septic arthritis: illustrative case and literature review. Eur J Clin Microbiol Infect Dis. 2006;25(12):791-797. doi:10.1007/s10096-006-0224-x
Arguello SL, Steele RW. Febrile illnesses acquired from animals. Pediatr Ann. 2011;40(1):31-38. doi:10.3928/00904481-20101214-08
Dunne JA, Khan A, Wormald JC, Jain A, Colville RJ. What is optimal wound management to prevent infection in non-hand mammalian bite injuries? A systematic review. J Plast Reconstr Aesthet Surg. 2019;72(4):685-710
Galvagno SM Jr, Nahmias JT, Young DA. Advanced Trauma Life Support® Update 2019: Management and Applications for Adults and Special Populations. Anesthesiol Clin. 2019;37(1):13-32. doi:10.1016/j.anclin.2018.09.009
Baddour L, Harper M. Animal bites (dogs, cats, and other animals): evaluation and management. Up to date, https://medilib.ir/uptodate/show/7671
Khan SA, Bank J, Song DH, Choi EA. The skin and subcutaneous tissue. In: Brunicardi F, Andersen DK, Billiar TR, et al., eds. Schwartz’s Principles of Surgery. 10th ed. New York, NY: McGraw-Hill; 2014.
Bula-Rudas FJ, Olcott JL. Human and Animal Bites. Pediatr Rev. 2018;39(10):490-500. doi:10.1542/pir.2017-0212
Reisner IR, Nance ML, Zeller JS, Houseknecht EM, Kassam-Adams N, Wiebe DJ. Behavioural characteristics associated with dog bites to children presenting to an urban trauma centre. Inj Prev. 2011;17(5):348-353. doi:10.1136/ip.2010.029868.
World Health Organisation Animal bites 24.Jan.2024. (15.09.2024 tarihinde https://www.who.int/news-room/fact-sheets/detail/animal-bites adresinden ulaşılmıştır).
Javaid M, Feldberg L, Gipson M. Primary repair of dog bites to the face: 40 cases. J R Soc Med. 1998;91(8):414-416
James Q. Puncture wounds and bites. In: Tintinalli JE, Stapczynski J, Ma O, et al., eds. Tintinalli’s Emergency Medi- cine: A Comprehensive Study Guide. 8th ed. New York, NY: McGraw-Hill; 2016.
Rui-feng C, Li-song H, Ji-bo Z, Li-qiu W. Emergency treatment on facial laceration of dog bite wounds with immediate primary closure: a prospective randomized trial study. BMC Emerg Med. 2013;13 Suppl 1(Suppl 1):S2. doi:10.1186/1471-227X-13-S1-S2.
Johns Hopkins Medicine. Necrotizing soft tissue infection. Hopkinsmed- icine.org. www.hopkinsmedicine.org/health/conditions-and-diseases/ necrotizing-soft-tissue-infection. Accessed January 18, 2024
Lewis K, Pay JL. Wound Irrigation. [Updated 2023 Mar 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538522/
Garber B, Glauser J. Mammalian bites: infection prevention and manage- ment. Curr Emerg Hosp Med Rep. 2023;11(3):1-8. https://doi.org/10.1007/s40138-023-00269-0
Bhaumik S, Kirubakaran R, Chaudhuri S. Primary closure versus delayed or no closure for traumatic wounds due to mammalian bite. Cochrane Database Syst Rev. 2019;12(12):CD011822. Published 2019 Dec 6. doi:10.1002/14651858.CD011822.pub2.
Paschos NK, Makris EA, Gantsos A, Georgoulis AD. Primary closure versus non-closure of dog bite wounds. a randomised controlled trial. Injury. 2014;45(1):237-240. doi:10.1016/j.injury.2013.07.010.
Chen E, Hornig S, Shepherd SM, Hollander JE. Primary closure of mammalian bites. Acad Emerg Med. 2000;7(2):157-161. doi:10.1111/j.1553-2712.2000.tb00519.x.
Stefanopoulos PK, Tarantzopoulou AD. Facial bite wounds: management update. Int J Oral Maxillofac Surg. 2005;34(5):464-472. doi:10.1016/j.ijom.2005.04.001.
Beam JW. Tissue adhesives for simple traumatic lacerations. J Athl Train. 2008;43(2):222-224. doi:10.4085/1062-6050-43.2.222.
Speirs J, Showery J, Abdou M, Pirela-Cruz MA, Abdelgawad AA. Dog bites to the upper extremity in children. J Paediatr Child Health. 2015;51(12):1172-1174. doi:10.1111/jpc.12948.
Quirk JT. Non-fatal dog bite injuries in the U.S.A., 2005-2009. Public Health. 2012;126(4):300-302. doi:10.1016/j.puhe.2012.01.010.
Bowler PG, Duerden BI, Armstrong DG. Wound microbiology and associated approaches to wound management. Clin Microbiol Rev. 2001;14(2):244-269. doi:10.1128/CMR.14.2.244-269.2001.
Kravetz JD, Federman DG. Cat-associated zoonoses. Arch Intern Med. 2002;162(17):1945-1952. doi:10.1001/archinte.162.17.1945.
Babovic N, Cayci C, Carlsen BT. Cat bite infections of the hand: assessment of morbidity and predictors of severe infection. J Hand Surg Am. 2014;39(2):286-290. doi:10.1016/j.jhsa.2013.11.003.
Westling K, Farra A, Cars B, et al. Cat bite wound infections: a prospective clinical and microbiological study at three emergency wards in Stockholm, Sweden. J Infect. 2006;53(6):403-407. doi:10.1016/j.jinf.2006.01.001.
Pomares G, Huguet S, Dap F, Dautel G. Contaminated wounds: Effectiveness of debridement for reducing bacterial load. Hand Surg Rehabil. 2016;35(4):266-270. doi:10.1016/j.hansur.2016.06.001.
Karakaș A, İlhan H, Turhan V. Animal and human bites: prophlaxis and approach to the treatment. Türk Hijyen ve Deneysel Biyoloji Dergisi, 2010;67(3): 153-160.
Klotz SA, Ianas V, Elliott SP. Cat-scratch Disease. Am Fam Physician. 2011;83(2):152-155.
Centers for Disease Control and Prevention. Tetanus: For clinicians October 18, 2023 (10.09.2024 tarihinde www.cdc.gov/tetanus/clinicians.html adresinden ulaşılmıştır).
World Health Organisation. Rabies Vaccines. WHO position paper 05.06.2024. (15.09.2024 tarihinde https://www.who.int/en/news-room/fact-sheets/detail/rabies adresinden ulaşılmıştır).
Centers for Disease Control and Prevention. Medical care: Rabies vaccine - rabies. January 18, 2024 (15.09.2024 tarihinde www.cdc.gov/rabies/medical_care/vaccine.html adresinden ulaşılmıştır).