Bites, Human and clenched fist injuries Flashcards

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1
Q

Commonest organism?

A

Human bites, including clenched fist injuries, often become infected by organisms such as Staphylococcus aureus.

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2
Q

Principles of treatment

A

Clean and debride the wound carefully

  • e.g. aqueous antiseptic solution or hydrogen peroxide)

Give prophylactic penicillin if a severe or deep bite

Avoid suturing if possible

Tetanus toxoid

Consider possibility of HIV, Hepatitis B or C infections

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3
Q

For high risk wounds

A

Take swab

Procaine penicillin 1.5 g IM, statim + amoxycillin/clavulanate 875 mg, bd for 5 d

children: 15 mg/kg up to 875 mg) (o)

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4
Q

For established infection

A

or severe penetrating injuries (e.g. joints, tendons)

  • Metronidazole 400 mg (o) bd + cefotaxime or ceftriazone 1 g IV daily for 14 d (after taking a swab)
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