Mammalian bites: Difference between revisions

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


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     -Through Yes Yes
     -Through Yes Yes


===^HIGH RISK===
# Hand wounds
# Deep punctures
# Heavy contam
# Sig tissue destruct
# >12hrs
# Joint, tendon, bone
# DM; PVD, steroid use, etc


*HIGH RISK
==ADMISSION *HUMAN HAND* BITE===
 
# wound>24hours
1) Hand wounds
# establihed infxn
 
# penetration joint/tendon
2) Deep punctures
# presence foreign body
 
# unreliable pt/poor home sit
3) Heavy contam
# diabetic
 
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
Abx = Amox/clav


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


[[Category:ID]]
[[Category:ID]]

Revision as of 14:10, 15 March 2011

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)