지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objective: This study examined patients who visited the emergency department of a national medical center equipped with rabies vaccine and rabies immunoglobulin to confirm whether the treatment for rabies vaccination was appropriate in the emergency department.
Methods: This was a retrospective study that included 397 patients from January 1, 2014, to October 31, 2017. The patients finally diagnosed with animal bites according to the International Classification of Diseases, 10th revision code, at emergency department were collected.
Results: Most of the patients were 20-30 years old. Most of them were bitten by a dog, especially in the upper limb. Only 84% of patients who met the domestic rabies post-exposure prophylaxis (PEP) criteria were vaccinated. Patients who did not meet the criteria, approximately 22.3%, were also vaccinated. Complications after vaccination included clinical symptoms, such as headache, numbness, mild itching, and heating sensation.
Conclusion: Rabies is a disease that can be prevented through PEP. Rabies PEP is relatively expensive and difficult to vaccinate easily, so it is desirable to subdivide the existing domestic rabies PEP guidelines into reality. Emergency physicians should know the proper rabies vaccination criteria and vaccinate patients only if necessary. This will help reduce medical resources and the complications of rabies vaccinations.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Kwon Y / 2017 / Dog bite-related injuries from hospital emergency department-based injury in-depth surveillance and preventing measures / Public Health Wkly Rep 10:1207~1212
Goldstein EJ / 1989 / Management of human and animal bite wounds / J Am Acad Dermatol 21:1275~1279
Goldstein EJ / 1992 / Bite wounds and infection / Clin Infect Dis 14:633~638
World Health Organization / 2013 / WHO Expert Consultation on Rabies. Second report / World Health Organ Tech Rep Ser (982):1~139
Rabies prevention / 1991 / Recommendations of the Immunization Practices Advisory Committee (ACIP) / MMWR Recomm Rep 40:1~19
Goldstein EJ / 1989 / Management of human and animal bite wounds / J Am Acad Dermatol 21:1275~1279
Goldstein EJ / 1992 / Bite wounds and infection / Clin Infect Dis 14:633~638
World Health Organization / 2013 / WHO Expert Consultation on Rabies. Second report / World Health Organ Tech Rep Ser (982):1~139
Rabies prevention / 1991 / Recommendations of the Immunization Practices Advisory Committee (ACIP) / MMWR Recomm Rep 40:1~19
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