{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T11:40:33Z","timestamp":1719661233710},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>In der Literatur zur Behandlung von\n                    Tier- und Menschenbissverletzungen wird immer wieder empfohlen, zur\n                    S\u00e4uberung der tiefen Wundabschnitte die Wunde mittels einer\n                    Knopfkan\u00fcle oder eines Katheters und einer Spritze zu sp\u00fclen.\n                    Dadurch sollen Verschmutzungen und Fremdk\u00f6rper aus der Wunde entfernt\n                    werden. In den letzten Jahren wird nicht mehr zu Sp\u00fclungen mit\n                    gro\u00dfem Druck, sondern nur noch mit Vorsicht geraten.<\/jats:p><jats:p>\n          Material und\n                        Methodik\u2003An 8 K\u00f6rperspenderpr\u00e4paraten wurden an\n                    klinisch typischen Lokalisationen mit einem speziellen Werkzeug\n                    k\u00fcnstliche Bissverletzungen erzeugt und mit einer Knopfkan\u00fcle\n                    und Spritze \u201egef\u00fchlt drucklos\u201c mit verd\u00fcnnter\n                    Tinte gesp\u00fclt.<\/jats:p><jats:p>\n          Ergebnisse\u2003In allen F\u00e4llen\n                    blieb mehr als die H\u00e4lfte der Sp\u00fclfl\u00fcssigkeit im\n                    gebissenen K\u00f6rperteil und verbreitete sich entlang anatomischer\n                    Strukturen \u00fcber gro\u00dfe\n                        Fl\u00e4chen.<\/jats:p><jats:p>\n          Schlussfolgerung\u2003Die Ergebnisse\n                    zeigen, dass eine Sp\u00fclung das Ziel einer Wundreinigung verfehlt, sondern\n                    vielmehr die Gefahr einer weiteren Kontamination der Umgebung birgt. Daher\n                    sollte aus Sicht der Autoren eine Wundsp\u00fclung mittels\n                    Knopfkan\u00fcle bei Bisswunden unterbleiben.<\/jats:p>","DOI":"10.1055\/a-1884-0121","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T22:51:45Z","timestamp":1662591105000},"page":"516-521","source":"Crossref","is-referenced-by-count":0,"title":["Sp\u00fclen von Bisswunden ist obsolet. Eine anatomische\n                    Studie"],"prefix":"10.1055","volume":"54","author":[{"given":"Bernd","family":"Rieck","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Klinikum Hildesheim, Hildesheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"J\u00f6rdens","sequence":"additional","affiliation":[{"name":"Neurology, Bundeswehr, Westerstede, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"ref3","first-page":"A-2776","article-title":"Therapeutische Sofortma\u00dfnahmen und Behandlungsstrategien bei\n                    Bi\u00dfverletzungen","author":"M Gawenda","year":"1996","journal-title":"Dt \u00c4rztebl"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1097\/TA.0000000000000531","article-title":"The current concepts in management of animal (dog, cat, snake, scorpion) and\n                    human bite wounds","volume":"78","year":"2015","journal-title":"The journal of trauma and acute care surgery"},{"key":"ref5","first-page":"239","article-title":"Dog and Cat Bites","volume":"90","author":"R Ellis","year":"2014","journal-title":"Am Fam Physician"},{"key":"ref6","first-page":"0914","article-title":"Bites (mammalian)","volume":"2010","author":"D Look","year":"2010","journal-title":"BMJ Clin Evid"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1111\/j.1553-2712.1994.tb02442.x","article-title":"A prospective evaluation of risk factors for infections from dog-bite\n                    wounds","volume":"1","author":"D J Dire","year":"1994","journal-title":"Academic emergency medicine: official journal of the Society for\n                    Academic Emergency Medicine"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3205\/dgkh000155","volume-title":"Prevention of post-operative infections after surgical treatment of bite wounds.\n                    In: GMS Krankenhaushygiene interdisziplinar","author":"A Kramer","year":"2010"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1136\/emj.5.3.156","article-title":"Dog-bite lacerations: a controlled trial of primary wound closure","volume":"5","author":"C Maimaris","year":"1988","journal-title":"Archives of emergency medicine"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1055\/s-0029-1216379","article-title":"Persistent Subcutaneous Oedema and Aseptic Fatty Tissue Necrosis after Unsing\n                    Octenisept","volume":"19","author":"C J Schupp","year":"2009","journal-title":"Eur J Pediatr Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1055\/s-0029-1238282","article-title":"Schwere Nebenwirkungen nach Octenisept-Sp\u00fclung von Perforationswunden im\n                    Kindesalter","volume":"41","author":"W H\u00fclsemann","year":"2009","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"116","DOI":"10.3238\/arztebl.2016.0116b","article-title":"Hilflose Wunschvorstellung. 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Diskussion zu dem Beitrag \u201eTier-\n                    und Menschenbissverletzungen\u201c von Rothe, K. et al","volume":"113","author":"B Heitmann","year":"2016","journal-title":"Dt. \u00c4rzteblatt"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1007\/s00113-009-1675-1","article-title":"Bissverletzungen der Hand","volume":"112","author":"P Lichte","year":"2009","journal-title":"Der Unfallchirurg"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1007\/s00064-018-0563-7","article-title":"Chirurgische Behandlung von Bissverletzungen","volume":"30","author":"D Saul","year":"2018","journal-title":"Operative Orthop\u00e4die und Traumatologie"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1007\/s00112-005-1177-3","volume-title":"Hundebissverletzungen beim Kind. 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