Mammalian bites: Difference between revisions

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==Table==
== Table ==
SPECIES SUTURING? PROPH ABX?


Dog All High Risk*
{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
|-
| '''Species Bite<br/>'''
| '''Suturing?<br/>'''
| '''Proph Abx?<br/>'''
|-
| Dog<br/>
| Yes (+/- hand/foot)
| High risk^<br/>
|-
| Cat<br/>
| Face only<br/>
| Yes<br/>
|-
| Rodent<br/>
| Yes<br/>
| No<br/>
|-
| Monkey<br/>
| No<br/>
| Yes<br/>
|-
| Human (hand)<br/>
| No<br/>
| Yes<br/>
|-
| Human (other)<br/>
| Yes<br/>
| High risk^<br/>
|-
| Self-bite (mucosa)<br/>
| Yes<br/>
| No<br/>
|-
| Self-bite (through)<br/>
| Yes<br/>
| Yes<br/>
|}


(+/- hand/foot)
=== ^HIGH RISK ===


Cat Face only All
#Hand wounds
 
#Deep punctures
Rodent Yes No
#Heavy contam
 
#Sig tissue destruct
Monkey No Yes
#>12hrs
 
#Joint, tendon, bone
Human
#DM; PVD, steroid use, etc
 
    -hand No Yes
 
    -Other Yes High risk*
 
Self-inflicted
 
    -Mucosa Yes No
 
    -Through Yes Yes
 
===^HIGH RISK===
# Hand wounds
# Deep punctures
# Heavy contam
# Sig tissue destruct
# >12hrs
# Joint, tendon, bone
# DM; PVD, steroid use, etc


==ADMISSION *HUMAN HAND* BITE===
==ADMISSION *HUMAN HAND* BITE===

Revision as of 14:15, 15 March 2011

Table

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

  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)