Mammalian bites
Table by Species
Species Bite |
Suturing? |
Proph Abx? |
Dog |
Yes (+/- hand/foot) | High risk^ |
Cat |
Face only |
Yes |
Rodent |
Yes |
No |
Monkey |
No |
Yes |
Human (hand) |
No |
Yes |
Human (other) |
Yes |
High risk^ |
Self-bite (mucosa) |
Yes |
No |
Self-bite (through) |
Yes |
Yes |
^HIGH RISK
- Hand wounds
- Deep punctures
- Heavy contam
- Sig tissue destruct
- >12hrs
- Joint, tendon, bone
- DM; PVD, steroid use, etc
Disposition
Admission Criteria Human Hand Bite
- Wound >24hrs
- Established infection
- Penetration of joint/tendon
- Presence foreign body
- Unreliable pt/poor home situation
- Diabetic
Treatment
- Amoxixcillin/clavulanate (Augmentin)
See Also
Source
1/22/06 DONALDSON (adapted from Lampe, Rosen)