[Vaccination for stab and bite injuries in the facial region].
In cases of stab and bite injuries to the face there is a risk of general infection and the necessity for an active and/or passive immunization must be considered by the first treating physician. In Central Europe tetanus, rabies, hepatitis B and C as well as HIV must be taken into account as possible consequences of such injuries. With regard to a tetanus immunization the indication for the post-exposition prophylaxis (PEP) should generally be as wide as possible. For other protective vaccinations a differentiated decision in co-operation with other fields of activity and public health authorities should be realized. The current recommendations for the systemic infections relevant in Central Europe are described.
Wilhelm
L
L
Klinik und Poliklinik für Chirurgie, E.-M.-Arndt-Universität Greifswald. lutz.wilhelm@mail.uni-greifswald.de
Wiersbitzky
S K W
SK
Podmelle
F
F
Werschnick
C
C
D019072:Antibiotic Prophylaxis / Q000379:methods*; D001733:Bites and Stings / Q000150:complications / Q000453:epidemiology / Q000382:microbiology* / Q000821:virology; D005145:Face; D005151:Facial Injuries / Q000150:complications / Q000382:microbiology* / Q000821:virology; D005858:Germany / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control; D006505:Hepatitis / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D010346:Patient Care Management / Q000379:methods; D015995:Prevalence; D011818:Rabies / Q000453:epidemiology / Q000517:prevention & control; D013742:Tetanus / Q000453:epidemiology / Q000517:prevention & control*; D014611:Vaccination / Q000379:methods; D014777:Virus Diseases / Q000209:etiology / Q000517:prevention & control*; D014951:Wounds, Stab / Q000150:complications / Q000453:epidemiology / Q000382:microbiology* / Q000821:virology