Mammalian bites: Difference between revisions
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== | ==Background== | ||
*5% of untreated dog bites will become infected (similar to rate of non-bite wounds) | |||
*80% of untreate cat bites will become nfected | |||
==Indications for Primary Closure of Mammalian Bites== | |||
#Face or scalp wound | |||
#Repair can occur within 6hr of injury (time dependent upon individual judgment) | |||
#Repair only requires single-layer closure; no devitalized tissue | |||
#No underlying fracture | |||
#No systemic immunocompromising conditions | |||
== | ==High-Risk Wounds== | ||
# | #Cat or human | ||
# | #Livestock | ||
# | #Monkey bites | ||
# | #Deep puncture wounds | ||
#Hand or foot wounds | |||
#Bites in immunosuppressed patients | |||
# | |||
# | |||
==Treatment== | ==Treatment== | ||
* | *Abx | ||
**Consider for high-risk wounds (see above) | |||
**Mamallian bites: | |||
***Amoxicilin-clavulanate 875mg PO BID x 5-7d | |||
**Fish bites: | |||
***Fluoroquinolone (for Vibrio coverage) | |||
*Rabies immune globulin | |||
**Indicated for bites from bats, monkeys, skunks, raccoons, foxes | |||
==See Also== | ==See Also== | ||
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==Source== | ==Source== | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 20:39, 4 April 2012
Background
- 5% of untreated dog bites will become infected (similar to rate of non-bite wounds)
- 80% of untreate cat bites will become nfected
Indications for Primary Closure of Mammalian Bites
- Face or scalp wound
- Repair can occur within 6hr of injury (time dependent upon individual judgment)
- Repair only requires single-layer closure; no devitalized tissue
- No underlying fracture
- No systemic immunocompromising conditions
High-Risk Wounds
- Cat or human
- Livestock
- Monkey bites
- Deep puncture wounds
- Hand or foot wounds
- Bites in immunosuppressed patients
Treatment
- Abx
- Consider for high-risk wounds (see above)
- Mamallian bites:
- Amoxicilin-clavulanate 875mg PO BID x 5-7d
- Fish bites:
- Fluoroquinolone (for Vibrio coverage)
- Rabies immune globulin
- Indicated for bites from bats, monkeys, skunks, raccoons, foxes