A Survey of Snakebite Management Knowledge Amongst Select Physicians in Hong Kong and the Implications for Snakebite Training
A Survey of Snakebite Management Knowledge Amongst Select Physicians in Hong Kong and the Implications for Snakebite Training
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DOI：
10.1580/1080-6032-020.004.0364
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发表时间：
2009-12-01
影响因子：
1.4
通讯作者：
Simpson, Ian D.
中科院分区：
文献类型：
--
作者：
Fung, Hin T. J.;Lam, Shing K. T.;Simpson, Ian D.
客观。-这项研究的目的是评估中华人民共和国香港特别行政区可能治疗蛇咬伤的医生对蛇咬伤管理的知识水平。关键问题是医生的信心，方法的一致性，抗蛇毒（ASV）的使用和辅助治疗。香港的医院，配备根据发达国家的标准，和知识，因此成为成功的管理的关键因素。方法。一份预先设计的问卷，包括29个多项选择题，提交给医生可能治疗蛇咬伤的受害者在所有香港医院接收这样的病人。关键的发现表明，只有29%的医生对治疗蛇咬伤有信心。在两种不同物种的产品之间选择ASV的情况下，66%的医生不确定使用哪种产品，或者认为这两种ASV是相同的。ASV治疗使用不适当的临床终点表明它是不必要的。香港医生治疗蛇咬伤的知识基础和信心水平明显有改善的空间。管理的关键组成部分，如ASV选择、适应症、给药和临床终点，是本研究参与者困惑的来源。结果表明，需要一个本地开发和广泛分布的蛇咬伤管理协议。
Objective.-The objective of the stud), was to assess the level of knowledge regarding snakebite management in doctors likely to treat such bites in the Special Administrative Region of Hong Kong in the People's Republic of China. Key concerns were doctor confidence, consistency of approach, use of anti-snake venom (ASV), and ancillary treatments. Hong Kong hospital, are equipped according to developed country standards, and knowledge therefore becomes the key factor in successful management.Methods.-A predesigned questionnaire consisting of 29 multiple-choice questions was submitted to physicians likely to treat snakebite victims at all Hong Kong hospitals receiving such patients.Results.-The key finding identified that only 29% of responding doctors were confident about treating snakebites. In the case of ASV selection between the 2 products available that deal with different species, 66% of doctors either were unsure of which to use or believed the 2 ASVs to be the same. The use of inappropriate clinical endpoints for ASV therapy suggests it is being used unnecessarily.Conclusions.-There is clear room for improvement in the knowledge base and confidence level of physicians treating snakebites in Hong Kong. Key components of management, such as ASV choice, indications, dosing, and clinical endpoints for administration, were sources of confusion to the participants in this study. The results demonstrate the need for a locally developed and widely distributed snakebite management protocol.