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J Korean Soc Emerg Med > Volume 29(4); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(4): 311-318.
응급의료센터로 내원한 동물교상 환자의 노출 후 공수병 예방치료의 임상적 분석
김동일, 여운형 , 박태진 , 권재현
국립중앙의료원 응급의학과
Clinical analysis of rabies post-exposure prophylaxis for animal bite in emergency department
Dong-il Kim, Woonhyung Yeo , Taejin Park , Jaehyun Kwon
Department of Emergency Medicine, National Medical Center, Seoul, Korea
Correspondence  Jaehyun Kwon ,Tel: 02-2260-7414, Fax: 02-2279-7075, Email: rirengarnat@hotmail.com,
Received: April 7, 2018; Revised: June 6, 2018   Accepted: July 5, 2018.  Published online: August 31, 2018.
ABSTRACT
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.
Method:
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.
Key words: Bites and stings; Rabies; Post-exposure prophylaxis; Emergency medicine
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