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Gladstone医生问:1名17月龄的患儿手部被家狗咬伤后24小时内体温升至39.4℃,出现局部感染伴手掌发红、肿胀和触痛。1年前,他接种过1剂DTP。现在他住院治疗感染,并接种了第2剂DTP。他还应接受破伤风免疫球蛋白(TIG)注射吗?我曾请教过一位传染病学专家,他认为无此必要,因为伤口未被粪便或污物污染,即它是“清洁小”伤口。他还认为,如伤口位于足部,则应给予TIG,因为足部更容易感染。已知学步幼儿的手和足接触污物的机会相同,并且上述伤口显然已受到唾液和细菌污染,因此,不给予TIG的建议令人困
Dr. Gladstone asks: A 17-month-old child whose body temperature rose to 39.4 ° C within 24 hours after being bitten by a domestic dog showed a localized infection with palmar redness, swelling and tenderness. He had been given 1 dose of DTP a year ago. He is now hospitalized for infection and is given a second dose of DTP. Should he also receive a tetanus immunoglobulin (TIG) injection? I consulted with an infectious disease specialist who did not consider it necessary because the wound was not contaminated with manure or dirt, ie it was a “clean small” wound . He also believes that if the wound is located in the foot, should be given TIG, because the foot is more susceptible to infection. It is known that toddlers’ hands and feet have the same chance of touching dirt, and the above wounds have apparently been contaminated with saliva and bacteria, so the advice of not giving TIG is daunting