Mammalian bites

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

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