Mammalian Bites Author: Jeffrey D. Kravetz, MD; Daniel G. Federman, MD
Editorial changes - 2008-01-23
Author information and module status
Prevention
Screening
Diagnosis
Consultation for Diagnosis
Hospitalization
Non-drug Therapy
Drug Therapy
Patient Education
Consultation for Management
Follow-up

Tables
References
Glossary
What's New
Patient Information
Additional Resources
Tools
Frequently Asked Questions
Prevention
What can an individual do to prevent cat or dog bites?
How should children be taught to lower their risk of a dog bite?
How can a dog owner lower the risk of their dog biting another individual?
Diagnosis
How often are dog, cat, or human bites complicated by infection?
What characteristics of a mammalian bite wound increase the risk of infection?
What factors increase a patient's risk of severe complications from a bite wound infection?
When should cultures be obtained from a bite wound?
What radiographic studies should be obtained for mammalian bite wounds?
Consultation for Diagnosis
Should a surgeon evaluate a bite wound to identify depth of penetration?
Hospitalization
Are there clinical features of mammalian bite wounds that warrant hospitalization?
What characteristics of a bite wound victim should prompt initial hospitalization?
Should all patients with human hand bite wounds be hospitalized?
Non-drug Therapy
How should a bite wound be managed initially to decrease the risk of infection?
When can a bite wound be safely closed primarily, and when is it better to allow it to heal by secondary intention?
What characteristics make a dog or cat bite more likely to involve rabies exposure?
When and how should postexposure rabies prophylaxis be adminstered?
Who should receive tetanus prophylaxis following a mammalian bite?
Drug Therapy
In what mammalian bite wounds is antibiotic prophylaxis warranted?
What are the most common bacteria involved in dog, cat, and human bite infections?
How is antibiotic therapy of bite wounds different from antibiotic treatment of other soft tissue infections?
What are the appropriate antibiotics to effectively treat infected dog, cat, or human bites?
Which antibiotics should be avoided in infected dog, cat, or human bites?
When should HBIG be administered to human bite victims?
Can HIV be transmitted by a human bite?
Patient Education
How should a patient be advised to appropriately manage a bite wound?
What signs or symptoms should a patient be advised to seek reevaluation for?
How can a patient prevent future dog or cat bites?
Consultation for Management
Should a hand surgeon be consulted to manage mammalian hand bites?
Which bite wounds should be managed by surgical subspecialists?
When should human bite wounds be considered a possible sign of child or spousal abuse?
Follow-up
How soon after discharge should a patient be seen for reevaluation of a bite wound?
How should a patient be managed for whom outpatient management of a bite wound has failed?
When should physical therapy be started for victims of extremity bite wounds?
| Patient Information
Daniel G. Federman, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Jeffrey D. Kravetz, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott.


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