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Rationale:
- Infectious disease specialists can adjust antibiotic therapy and assess the need for surgical involvement in complicated bite
wound infections.
- Though rare, there have been reports of both HIV and HBV being transmitted by human bite wounds.
- Human bite marks that occur in children can be a sign of child abuse.
- Measurement of the intercanine distance on bite wounds by an experienced subspecialist can identify if the bite was inflicted
by an adult.
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Evidence:
- A human bite wound with an intercanine distance measured to be over 3 cm is most likely to be the result of an adult bite,
according to a joint consensus statement from the American Academy of Pediatrics and the American Academy of Pediatric Dentistry
(72).
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Comments:
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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.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2008 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Mammalian Bites
> Consultation for Management
