Mammalian bites

Table

SPECIES SUTURING? PROPH ABX?

Dog All High Risk*

(+/- hand/foot)

Cat Face only All

Rodent Yes No

Monkey No Yes

Human

    -hand No Yes

    -Other Yes High risk*

Self-inflicted

    -Mucosa Yes No

    -Through Yes Yes

^HIGH RISK

1. Hand wounds
2. Deep punctures
3. Heavy contam
4. Sig tissue destruct
5. >12hrs
6. Joint, tendon, bone
7. DM; PVD, steroid use, etc

ADMISSION *HUMAN HAND* BITE=

1. wound>24hours
2. establihed infxn
3. penetration joint/tendon
4. presence foreign body
5. unreliable pt/poor home sit
6. diabetic

Abx = Amox/clav

Source

1/22/06 DONALDSON (adapted from Lampe, Rosen)