Daniela Paola Escobar Domingo , Erika Marcela Méndez Ordóñez , Manuel Andrés Ferro Morales , Leonardo Rueda Medina , Mauricio Rodríguez Urrea , Francisco Zambrano García
{"title":"哥伦比亚一家医院的动物咬伤患者坚持治疗的情况","authors":"Daniela Paola Escobar Domingo , Erika Marcela Méndez Ordóñez , Manuel Andrés Ferro Morales , Leonardo Rueda Medina , Mauricio Rodríguez Urrea , Francisco Zambrano García","doi":"10.1016/j.cegh.2024.101694","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The treatment of animal bite wounds includes both local management and prophylactic use of oral antibiotics. However, the effectiveness of the latter in our population is inconclusive. This research aims to identify the relationship between adherence to antibiotic treatment and the infection rate after an animal bite.</p></div><div><h3>Methods</h3><p>A prospective cohort study was conducted in a tertiary hospital in Colombia. All patients who had suffered animal bites were included in this study. T-tests and chi-square tests were used to evaluate the results. Subgroup analysis was performed, and the risk ratio was calculated with a 95 % confidence interval.</p></div><div><h3>Results</h3><p>A total of 227 patients were included, of whom 56.4 % were male, with an average age of 22 years, and 43.6 % were female. Canine bites accounted for 90.3 % of the cases, with the hand being the most frequently affected anatomical area. Beta-lactam antibiotics with beta-lactamase inhibitors were the most commonly used (53 %). Adherence to antibiotic treatment was observed in 63 % of the patients. Signs and symptoms of infection occurred in 44 % of cases, while suture dehiscence occurred in only 3 %.</p></div><div><h3>Conclusions</h3><p>While adherence to treatment is acceptable, infection occurs at a high percentage. The adherence rate to antibiotic treatment in dog bites is high; however, the use of antibiotics remains controversial, as healthcare professionals do not adequately adhere to national guidelines.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001908/pdfft?md5=e2cf74ad4504e3f502a059d58af5babc&pid=1-s2.0-S2213398424001908-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Adherence to treatment in patients with animal bites in a hospital of Colombia\",\"authors\":\"Daniela Paola Escobar Domingo , Erika Marcela Méndez Ordóñez , Manuel Andrés Ferro Morales , Leonardo Rueda Medina , Mauricio Rodríguez Urrea , Francisco Zambrano García\",\"doi\":\"10.1016/j.cegh.2024.101694\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The treatment of animal bite wounds includes both local management and prophylactic use of oral antibiotics. However, the effectiveness of the latter in our population is inconclusive. This research aims to identify the relationship between adherence to antibiotic treatment and the infection rate after an animal bite.</p></div><div><h3>Methods</h3><p>A prospective cohort study was conducted in a tertiary hospital in Colombia. All patients who had suffered animal bites were included in this study. T-tests and chi-square tests were used to evaluate the results. Subgroup analysis was performed, and the risk ratio was calculated with a 95 % confidence interval.</p></div><div><h3>Results</h3><p>A total of 227 patients were included, of whom 56.4 % were male, with an average age of 22 years, and 43.6 % were female. Canine bites accounted for 90.3 % of the cases, with the hand being the most frequently affected anatomical area. Beta-lactam antibiotics with beta-lactamase inhibitors were the most commonly used (53 %). Adherence to antibiotic treatment was observed in 63 % of the patients. Signs and symptoms of infection occurred in 44 % of cases, while suture dehiscence occurred in only 3 %.</p></div><div><h3>Conclusions</h3><p>While adherence to treatment is acceptable, infection occurs at a high percentage. The adherence rate to antibiotic treatment in dog bites is high; however, the use of antibiotics remains controversial, as healthcare professionals do not adequately adhere to national guidelines.</p></div>\",\"PeriodicalId\":46404,\"journal\":{\"name\":\"Clinical Epidemiology and Global Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2213398424001908/pdfft?md5=e2cf74ad4504e3f502a059d58af5babc&pid=1-s2.0-S2213398424001908-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Epidemiology and Global Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213398424001908\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398424001908","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Adherence to treatment in patients with animal bites in a hospital of Colombia
Background
The treatment of animal bite wounds includes both local management and prophylactic use of oral antibiotics. However, the effectiveness of the latter in our population is inconclusive. This research aims to identify the relationship between adherence to antibiotic treatment and the infection rate after an animal bite.
Methods
A prospective cohort study was conducted in a tertiary hospital in Colombia. All patients who had suffered animal bites were included in this study. T-tests and chi-square tests were used to evaluate the results. Subgroup analysis was performed, and the risk ratio was calculated with a 95 % confidence interval.
Results
A total of 227 patients were included, of whom 56.4 % were male, with an average age of 22 years, and 43.6 % were female. Canine bites accounted for 90.3 % of the cases, with the hand being the most frequently affected anatomical area. Beta-lactam antibiotics with beta-lactamase inhibitors were the most commonly used (53 %). Adherence to antibiotic treatment was observed in 63 % of the patients. Signs and symptoms of infection occurred in 44 % of cases, while suture dehiscence occurred in only 3 %.
Conclusions
While adherence to treatment is acceptable, infection occurs at a high percentage. The adherence rate to antibiotic treatment in dog bites is high; however, the use of antibiotics remains controversial, as healthcare professionals do not adequately adhere to national guidelines.
期刊介绍:
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.