Bacterial infection in association with snakebite: A 10-year experience in a northern Taiwan medical center

摘要: Background Microbiological data of secondary wound infections following snakebites is rarely reported in Taiwan. The objective this study was to assess the infection after venomous snakebites. Methods We conducted a 10-year retrospective survey on patients admitted for and microbiological cultures at medical center northern Results Between April 2001 2010, 231 who experienced were included. Male predominated, accounting 62.3% (144). age range 4–95 years. Ninety-five (41.1%) people bitten by Trimeresurus mucrosquamatus , followed Tstejnegeri cobra. A total 61 pathogens obtained from 21 patients. Thirty-nine (63.9%) isolates gram-negative bacteria, 14 (23%) gram-positive pathogens, 8 (13.1%) anaerobic pathogens. There 17 cobra these Morganella morganii Enterococcus species most common identified cultures. Conclusion Cobra bite causes more severe bacterial than other kinds Oral amoxicillin/clavulanate plus ciprofloxacin or parenteral piperacillin/tazobactam alone can be choices empirical definitive treatment, surgical intervention should considered established invasive soft tissue infections.