Mammalian bites: Difference between revisions
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==Table== | == Table == | ||
Dog | {| 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/> | |||
|} | |||
=== ^HIGH RISK === | |||
#Hand wounds | |||
#Deep punctures | |||
#Heavy contam | |||
#Sig tissue destruct | |||
#>12hrs | |||
#Joint, tendon, bone | |||
#DM; PVD, steroid use, etc | |||
# 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
- Hand wounds
- Deep punctures
- Heavy contam
- Sig tissue destruct
- >12hrs
- Joint, tendon, bone
- DM; PVD, steroid use, etc
ADMISSION *HUMAN HAND* BITE=
- wound>24hours
- establihed infxn
- penetration joint/tendon
- presence foreign body
- unreliable pt/poor home sit
- diabetic
Abx = Amox/clav
Source
1/22/06 DONALDSON (adapted from Lampe, Rosen)
