Multisystem Processes & Disorders

{"ops":[{"insert":"Animal bites"},{"insert":"\n","attributes":{"header":1}},{"insert":"Dog bites are common in the United States, accounting for 85-90% of all animal bites; most people who are bitten are familiar with the dog in question. \r\n\r\nVictims are usually children, with the head and neck being frequent sites of injury. Wounds to the extremities are more typical in adolescents and adults.\r\n\r\nCat bites comprise 5-10% of animal bites and affect mainly adult women, usually on the extremities. In contrast to dog bites, the vast majority of these are provoked.\n"},{"insert":"Wound management in dog bite"},{"insert":"\n","attributes":{"header":1}},{"insert":"All dog bite wounds should be considered to be contaminated; the surrounding skin should be cleaned, the wound copiously irrigated and devitalized tissue cautiously debrided to prevent a secondary infection. \r\n\r\nExploration for foreign bodies, bone or tendon involvement should be undertaken, with radiography or referral for repair if indicated.\r\n\r\nIn addition, given the risk of infection, these wounds are traditionally left open. However, they may be closed if cosmetically feasible in patients with a low risk of secondary infections.\r\n\r\nAntibiotic prophylaxis (generally with amoxicillin\/clavulanate for three to seven days) should be initiated for patients with bites to the extremities resulting in lymphatic or venous compromise, bites to th"}]}

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