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首页> 外文期刊>Wilderness and Environmental Medicine >A Survey of Snakebite Management Knowledge Amongst Select Physicians in Hong Kong and the Implications for Snakebite Training
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A Survey of Snakebite Management Knowledge Amongst Select Physicians in Hong Kong and the Implications for Snakebite Training

机译：香港部分医师对蛇咬伤管理知识的调查及其对蛇咬伤训练的启示

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摘要

Objective.—The objective of the study 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 hospitals 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.
机译：目的：这项研究的目的是评估在中华人民共和国香港特别行政区可能会治疗此类咬伤的医生对蛇咬治疗的知识水平。关键问题是医生的信心，方法的一致性，使用抗蛇毒（ASV）以及辅助治疗。方法：-预先设计的问卷由29项多项选择题组成，并向所有可能接受治疗的香港医院的可能被蛇咬伤者治疗的医生提交了由29个多项选择题组成的预先设计的调查表。结果。——主要发现表明，只有29％的回应医生对治疗蛇咬伤有信心。在选择可用于不同物种的两种产品之间进行ASV选择的情况下，有66％的医生不确定使用哪种或认为两种ASV相同。结论：-在香港治疗蛇咬伤的医生的知识基础和信心水平上仍有明显的提高空间。管理的关键组成部分（例如ASV选择，适应症，剂量和临床终点）是引起本研究参与者困惑的根源。结果表明需要在本地开发并广泛分布的蛇咬管理协议。

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