Mammalian bites: Difference between revisions
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==Background== | ==Background== | ||
*5% of untreated dog bites will become infected (similar to rate of non-bite wounds) | *5% of untreated dog bites will become infected (similar to rate of non-bite wounds) | ||
*80% of untreated cat bites will become | *80% of untreated cat bites will become infected | ||
==Indications for Primary Closure of Mammalian Bites== | ==Indications for Primary Closure of Mammalian Bites== | ||
Revision as of 22:28, 19 October 2013
Background
- 5% of untreated dog bites will become infected (similar to rate of non-bite wounds)
- 80% of untreated cat bites will become infected
Indications for Primary Closure of Mammalian Bites
- Consider closure if all of the following are true:
- Not a 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, human, livestock, or 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