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Rationale:
- Clinical failures have occurred in patients treated for bite wound infections who have not properly elevated their extremity.
- Patients with mammalian bites and improper wound management are more likely to develop infections.
- All mammalian bite wound infections need to be seen urgently to prevent infectious complications and loss of function.
- Progression of symptoms in a patient with established bite wound infection is an indication for hospitalization for intravenous
antibiotics and possible surgical debridement.
- Patients who do not adhere to their antibiotic regimens are at risk for spread of infection to the bone, joints, tendons,
and blood.
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Evidence:
- In a study of eight patients admitted for human hand bite infections, six presented after failing to manage wounds as an outpatient
(34).
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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.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott.
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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
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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) 2009 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Mammalian Bites
> Patient Education
