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Erschienen in: Wiener klinische Wochenschrift 9-10/2016

01.05.2016 | original article

Management of bite wounds in children and adults—an analysis of over 5000 cases at a level I trauma centre

verfasst von: Manuela Jaindl, Gerhard Oberleitner, Georg Endler, Christiane Thallinger, Florian M. Kovar, MD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 9-10/2016

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Summary

Background

Bite wounds are among the commonest types of trauma to which man is the subject. They account for 5 % of the total traumatic wounds evaluated in the emergency department (ED) and approximately 1 % of all the ED visits. Early estimation of infection risk, adequate antibiotic therapy and if indicated surgical treatment are the cornerstones of successful cure of bite wounds.

Methods

A total of 5248 consecutive trauma patients were collected prospectively and analysed retrospectively over a period of 15 years in this study at a level I trauma centre, Department of Trauma Surgery, Medical University of Vienna, Austria.

Results

The mean age was 33.8 years (range 0–97), 2620 (49.9 %) were male and 2628 (50.1 %) were female individuals. In our study population, a total of 2530 dog bites (48.2 %), 930 cat bites (17.8 %), 357 other animal bites (6.8 %), 426 human bites (8.1 %) and 1005 human self-bites (19.2 %) have been observed. A total of 995 wounds (19.0 %) have been infected. Surgery was done in 132 wounds (2.5 %).

Conclusion

We could show a six times higher infection rate of cat bites compared to dog bites. Human bites showed a total infection rate of 8.2 %. Observed infection rate of puncture wounds and wounds greater than 3 cm was 1.5 times higher than for all other wounds in the present study. Total infection rates within 24 h to antibiotic administration was 29.3 %, compared to 65.0 % < 48 h and 81.1 % < 72 h. Time interval also influenced the overall outcome showing a 2.6 increase in acceptable and 1.3 increase in poor outcome after 72 h.
Literatur
1.
Zurück zum Zitat Stefanopoulos PK, Tarantzopoulou AD. Facial bite wounds: management update. Int J Oral Maxillofac Surg. 2005;34:464–72.CrossRefPubMed Stefanopoulos PK, Tarantzopoulou AD. Facial bite wounds: management update. Int J Oral Maxillofac Surg. 2005;34:464–72.CrossRefPubMed
2.
Zurück zum Zitat Haugh RH, Morgan JP III. Management of human and animal bites. In: Fonseca RJ, Walker RV, editors. Oral and maxillofacial trauma. 2nd ed. Philadelphia: WB Saunders; 1997. pp. 875–96. Haugh RH, Morgan JP III. Management of human and animal bites. In: Fonseca RJ, Walker RV, editors. Oral and maxillofacial trauma. 2nd ed. Philadelphia: WB Saunders; 1997. pp. 875–96.
3.
Zurück zum Zitat Paton BC. Bites-human, dog, spider and snake. Surg Clin North Am. 1963;43:537–53.PubMed Paton BC. Bites-human, dog, spider and snake. Surg Clin North Am. 1963;43:537–53.PubMed
4.
Zurück zum Zitat Chen E, Hornig S, Shepherd SM, Hollander JE. Primary closure of mammalian bites. Acad Emerg Med. 2000;7(2):157–61.CrossRefPubMed Chen E, Hornig S, Shepherd SM, Hollander JE. Primary closure of mammalian bites. Acad Emerg Med. 2000;7(2):157–61.CrossRefPubMed
5.
Zurück zum Zitat Hollander JE, Singer JS, Valentin S, Henry MC. Wound registry: development and validation. Ann Emerg Med. 1995;25:675–85.CrossRefPubMed Hollander JE, Singer JS, Valentin S, Henry MC. Wound registry: development and validation. Ann Emerg Med. 1995;25:675–85.CrossRefPubMed
6.
Zurück zum Zitat Wiley JF. Mammalian bites: review of evaluation and management. Clin Pediatr. 1990;29:283–7.CrossRef Wiley JF. Mammalian bites: review of evaluation and management. Clin Pediatr. 1990;29:283–7.CrossRef
8.
Zurück zum Zitat Pfortmueller CA, Efeoglou A, Furrer H, Exadaktylos AK. Dog bite injuries: primary and secondary emergency department presentations—a retrospective cohort study. ScientificWorldJournal. 2013:2013:393176. doi:10.1155/2013/393176. eCollection.2013.CrossRefPubMedPubMedCentral Pfortmueller CA, Efeoglou A, Furrer H, Exadaktylos AK. Dog bite injuries: primary and secondary emergency department presentations—a retrospective cohort study. ScientificWorldJournal. 2013:2013:393176. doi:10.1155/2013/393176. eCollection.2013.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Kreuster TD, Lamoureux J, Kahn A. Epidemiology of dog bites: a Belgian experience of canine behaviour and public health concerns. Vet J. 2006;172(3):482–7.CrossRef Kreuster TD, Lamoureux J, Kahn A. Epidemiology of dog bites: a Belgian experience of canine behaviour and public health concerns. Vet J. 2006;172(3):482–7.CrossRef
12.
13.
Zurück zum Zitat Kizer KW. Epidemiologic and clinical aspects of animal bite injuries. JACEP.1979;8(4):134–41.CrossRefPubMed Kizer KW. Epidemiologic and clinical aspects of animal bite injuries. JACEP.1979;8(4):134–41.CrossRefPubMed
14.
Zurück zum Zitat Strassburg MA, Greenland S, Maron JA, Mahoney LE. Animal bites: patterns of treatment. Ann Emerg Med. 1981;10(4):193–7.CrossRefPubMed Strassburg MA, Greenland S, Maron JA, Mahoney LE. Animal bites: patterns of treatment. Ann Emerg Med. 1981;10(4):193–7.CrossRefPubMed
15.
Zurück zum Zitat Griego RD, Rosen T, Orengo IF, Wolf JE. Dog, cat, human bites: a review. J Acad Dermatol. 1995;33(6):1019–20.CrossRef Griego RD, Rosen T, Orengo IF, Wolf JE. Dog, cat, human bites: a review. J Acad Dermatol. 1995;33(6):1019–20.CrossRef
16.
19.
Zurück zum Zitat Ambro BT, Wright RJ, Heffelfinger RN. Management of bite wounds in the head and neck. Facial Plast Surg. 2010;26(6):456–63.CrossRefPubMed Ambro BT, Wright RJ, Heffelfinger RN. Management of bite wounds in the head and neck. Facial Plast Surg. 2010;26(6):456–63.CrossRefPubMed
20.
Zurück zum Zitat Patronek GJ, Slater MR. Question whether dog bites are on the rise. J Am Vet Med Assoc. 2011;238(6):691.PubMed Patronek GJ, Slater MR. Question whether dog bites are on the rise. J Am Vet Med Assoc. 2011;238(6):691.PubMed
21.
Zurück zum Zitat Paschos NK, Makris EA, Ganstos A, Georgoulis AD. Primary closure versus non-closure of dog bite wounds. A randomised controlled trial. Injury. 2014;45:237–40.CrossRefPubMed Paschos NK, Makris EA, Ganstos A, Georgoulis AD. Primary closure versus non-closure of dog bite wounds. A randomised controlled trial. Injury. 2014;45:237–40.CrossRefPubMed
22.
Zurück zum Zitat Talan DA, Citron DM, Abrahamian FM, Moran GJ, Goldstein EJ. Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group. N Engl J Med. 1999;340(2):85–92.CrossRefPubMed Talan DA, Citron DM, Abrahamian FM, Moran GJ, Goldstein EJ. Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group. N Engl J Med. 1999;340(2):85–92.CrossRefPubMed
23.
Zurück zum Zitat Elenbaas RM, McNabney WK, Robinson WA. Prophylactic oxacillin in dog bite wounds. Ann Emerg Med. 1982;11(5):248–51.CrossRefPubMed Elenbaas RM, McNabney WK, Robinson WA. Prophylactic oxacillin in dog bite wounds. Ann Emerg Med. 1982;11(5):248–51.CrossRefPubMed
24.
Zurück zum Zitat Thomas N, Brook I. Animal bite-associated infections: microbiology and treatment. Expert Rev Anti Infect Ther. 2011;9(2):215–26.CrossRefPubMed Thomas N, Brook I. Animal bite-associated infections: microbiology and treatment. Expert Rev Anti Infect Ther. 2011;9(2):215–26.CrossRefPubMed
25.
Zurück zum Zitat Boenning DA, Fleisher GR, Campos JM. Dog bites in children: epidemiology, microbiology, and penicillin prophylactic therapy. Am J Emerg Med. 1983;1:17–21.CrossRefPubMed Boenning DA, Fleisher GR, Campos JM. Dog bites in children: epidemiology, microbiology, and penicillin prophylactic therapy. Am J Emerg Med. 1983;1:17–21.CrossRefPubMed
26.
Zurück zum Zitat Rosen RA. The use of antibiotics in the initial management of recent dog-bite wounds. Am J Emerg med.1985;3(1):19–23.CrossRefPubMed Rosen RA. The use of antibiotics in the initial management of recent dog-bite wounds. Am J Emerg med.1985;3(1):19–23.CrossRefPubMed
27.
Zurück zum Zitat Callaham M. Prophylactic antibiotics in dog bite wounds: hipping at the heels of progress. Ann Emerg Med. 1994;23(3):577–9.CrossRefPubMed Callaham M. Prophylactic antibiotics in dog bite wounds: hipping at the heels of progress. Ann Emerg Med. 1994;23(3):577–9.CrossRefPubMed
28.
Zurück zum Zitat Jones DA, Stanbridge TN. A clinical trial using co-trimoxazole to reduce wound infection rates in dog bite wounds. Postgrad Med J. 1985;61(717):593–4.CrossRefPubMedPubMedCentral Jones DA, Stanbridge TN. A clinical trial using co-trimoxazole to reduce wound infection rates in dog bite wounds. Postgrad Med J. 1985;61(717):593–4.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Surka J, Willert C, Yogev R. Wound infection following dog bite despite prophylactic penicillin. Infection. 1986;14(3):134–5.CrossRef Surka J, Willert C, Yogev R. Wound infection following dog bite despite prophylactic penicillin. Infection. 1986;14(3):134–5.CrossRef
30.
Zurück zum Zitat Brakenbury PH, Muwanga C. A comparative double blind study of amoxicillin vs placebo in the prevention of infection after animal bites. Arch Emerg Med. 1989;6(4):251–6.CrossRefPubMedPubMedCentral Brakenbury PH, Muwanga C. A comparative double blind study of amoxicillin vs placebo in the prevention of infection after animal bites. Arch Emerg Med. 1989;6(4):251–6.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Dire DJ, Hogan DE, Walker JS. Prophylactic antibiotics for low risk dog bite wounds. Pediatr Emerg Care. 1992;8(4):194–9.CrossRefPubMed Dire DJ, Hogan DE, Walker JS. Prophylactic antibiotics for low risk dog bite wounds. Pediatr Emerg Care. 1992;8(4):194–9.CrossRefPubMed
32.
Zurück zum Zitat Cummings P. Antibiotics to prevent infection in patients with dog bite wounds: a meta-analysis of randomized trials. Ann Emerg Med. 1994;23(3):535–40.CrossRefPubMed Cummings P. Antibiotics to prevent infection in patients with dog bite wounds: a meta-analysis of randomized trials. Ann Emerg Med. 1994;23(3):535–40.CrossRefPubMed
33.
Zurück zum Zitat Thomson HG, Svitek V. Small animal bites: the role of primary closure. J Trauma. 1973;13(1):20–3.CrossRefPubMed Thomson HG, Svitek V. Small animal bites: the role of primary closure. J Trauma. 1973;13(1):20–3.CrossRefPubMed
34.
Zurück zum Zitat Callaham M. Prophlactic antibiotics in common dog bite wounds: a controlled study. Ann Emerg Med. 1980;9(8):410–4.CrossRefPubMed Callaham M. Prophlactic antibiotics in common dog bite wounds: a controlled study. Ann Emerg Med. 1980;9(8):410–4.CrossRefPubMed
35.
Zurück zum Zitat Chaudhry MA, Macnamara AF, Clark S. Is the management of dog bite wounds evidence based? A postal survey and review of the literature. Eur J Emerg Med. 2004;11(6):313–7.CrossRefPubMed Chaudhry MA, Macnamara AF, Clark S. Is the management of dog bite wounds evidence based? A postal survey and review of the literature. Eur J Emerg Med. 2004;11(6):313–7.CrossRefPubMed
36.
Zurück zum Zitat Zook EG, Miller M, Van Beek AL. Successful treatment protocol for canine fang injuries. J Trauma. 1980;20(3):243–6.CrossRefPubMed Zook EG, Miller M, Van Beek AL. Successful treatment protocol for canine fang injuries. J Trauma. 1980;20(3):243–6.CrossRefPubMed
37.
Zurück zum Zitat Callaham M. Treatment of common dog bites: infection risk factors. JACEP. 1978;78(3):83–7.CrossRef Callaham M. Treatment of common dog bites: infection risk factors. JACEP. 1978;78(3):83–7.CrossRef
38.
Zurück zum Zitat Gravett A, Sterner S, Clinton JE. A trial of povidone-iodine in the prevention of infection in sutured lacerations. Ann Emerg Med. 1987;16(2):167–71.CrossRefPubMed Gravett A, Sterner S, Clinton JE. A trial of povidone-iodine in the prevention of infection in sutured lacerations. Ann Emerg Med. 1987;16(2):167–71.CrossRefPubMed
39.
Zurück zum Zitat Mcheik JN, Vergens P, Bondonny JM. Treatment of facial dog bite injuries in children: a retrospective study. J Pediatr Surg. 2000;35(4):580–3.CrossRefPubMed Mcheik JN, Vergens P, Bondonny JM. Treatment of facial dog bite injuries in children: a retrospective study. J Pediatr Surg. 2000;35(4):580–3.CrossRefPubMed
40.
Zurück zum Zitat Benson LS, Edwards SL, Schiff AP, Williams CS, Visotsky JL. Dog and cat bites to the hand: treatment and cost assessment. J Hand Surg Am. 2006;31(3):468–73.CrossRefPubMed Benson LS, Edwards SL, Schiff AP, Williams CS, Visotsky JL. Dog and cat bites to the hand: treatment and cost assessment. J Hand Surg Am. 2006;31(3):468–73.CrossRefPubMed
41.
42.
Zurück zum Zitat Francis DP, Holmes MA, Brandon G. Psteurella multocida: infections after domestic animal bites and scratches. JAMA. 1975;233(1):42–6.CrossRefPubMed Francis DP, Holmes MA, Brandon G. Psteurella multocida: infections after domestic animal bites and scratches. JAMA. 1975;233(1):42–6.CrossRefPubMed
43.
Zurück zum Zitat Callaham ML. Human and animal bites Top. Emerg Med. 1982;4:1–15. Callaham ML. Human and animal bites Top. Emerg Med. 1982;4:1–15.
44.
Zurück zum Zitat Goldstein EJC. Infectious complications and therapy of bite wounds. J Am Pediatr Med Assoc.1989;79:486–91.CrossRef Goldstein EJC. Infectious complications and therapy of bite wounds. J Am Pediatr Med Assoc.1989;79:486–91.CrossRef
45.
Zurück zum Zitat Brook I. Microbiology and management of human and animal bite wound infections. Prim Care. 2003;30(1):25–39.CrossRefPubMed Brook I. Microbiology and management of human and animal bite wound infections. Prim Care. 2003;30(1):25–39.CrossRefPubMed
47.
Zurück zum Zitat Bianco BF, Bernier-Rodriguez JA, Forcier D, Aquilera A, Convey D. Clinical case report: treatment of permanent tooth avulsion following trauma from a dog bite. Gen Dent. 2010;58(6):268–71. Bianco BF, Bernier-Rodriguez JA, Forcier D, Aquilera A, Convey D. Clinical case report: treatment of permanent tooth avulsion following trauma from a dog bite. Gen Dent. 2010;58(6):268–71.
48.
Zurück zum Zitat Dwyer JP, Douglas TS, Van As AB. Dog bite injuries in children—a review of data from South African paediatric trauma unit. S Afr Med J. 2007;97(5):597–600.PubMed Dwyer JP, Douglas TS, Van As AB. Dog bite injuries in children—a review of data from South African paediatric trauma unit. S Afr Med J. 2007;97(5):597–600.PubMed
49.
Zurück zum Zitat Brook I. Microbiology of human and animal bite wounds in children. Pediatr Infect Dis J. 1987;6(1):29–32.CrossRefPubMed Brook I. Microbiology of human and animal bite wounds in children. Pediatr Infect Dis J. 1987;6(1):29–32.CrossRefPubMed
50.
Zurück zum Zitat Dendle C, Looke D. Review article: animal bites: an update for management with a focus on infections. Emerg Med Australas. 2008;20(6):458–67.CrossRefPubMed Dendle C, Looke D. Review article: animal bites: an update for management with a focus on infections. Emerg Med Australas. 2008;20(6):458–67.CrossRefPubMed
51.
Zurück zum Zitat Babovic N, Cayci C, Carlsen BT. Cat bite infections of the hand: assessment of morbidity and predictions of severe infection. J Hand Surg Am. 2014;39(2):286–90.CrossRefPubMed Babovic N, Cayci C, Carlsen BT. Cat bite infections of the hand: assessment of morbidity and predictions of severe infection. J Hand Surg Am. 2014;39(2):286–90.CrossRefPubMed
52.
Zurück zum Zitat Goldstein EJ. Bites. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases. 5th ed. Vol 1 and 2. Philadelphia: Elsevier Chruchill Livingstone; 2005. pp. 3553–6. Goldstein EJ. Bites. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases. 5th ed. Vol 1 and 2. Philadelphia: Elsevier Chruchill Livingstone; 2005. pp. 3553–6.
53.
Zurück zum Zitat Prescott PR. Child abuse and neglect. In: Levin DL, editor. A practical guide to paediatric intensive care. St. Louise: Mosby; 1984. p. 454. Prescott PR. Child abuse and neglect. In: Levin DL, editor. A practical guide to paediatric intensive care. St. Louise: Mosby; 1984. p. 454.
54.
Zurück zum Zitat Dusheikho GM, Smith M, Scheuer PJ, Hepatitis C. Virus transmitted by human bite. Lancet. 1990;336(8713):503–4.CrossRef Dusheikho GM, Smith M, Scheuer PJ, Hepatitis C. Virus transmitted by human bite. Lancet. 1990;336(8713):503–4.CrossRef
55.
Zurück zum Zitat Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJ, Gorbach SL, Hirschmann JV, Kaplan EL, Montoya JG, Wade JC. Infectious Disease Society of America. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis. 2005;41(10):1373–406.CrossRefPubMed Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJ, Gorbach SL, Hirschmann JV, Kaplan EL, Montoya JG, Wade JC. Infectious Disease Society of America. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis. 2005;41(10):1373–406.CrossRefPubMed
56.
Zurück zum Zitat Philipsen TE, Molderez C, Gys T. Cat and dog bites What to do? Guidelines for the treatment of cat and dog bites in humans. Acta Chir Belg. 2006;106(6):692–5.CrossRefPubMed Philipsen TE, Molderez C, Gys T. Cat and dog bites What to do? Guidelines for the treatment of cat and dog bites in humans. Acta Chir Belg. 2006;106(6):692–5.CrossRefPubMed
57.
Zurück zum Zitat Kesting MR, Hölzle F, Pox C, Thurmüller P, Wolff KD. Animal bite injuries to the head: 132 cases. Br J Oral Maxillofac Surg. 2006;44(3):235–9.CrossRefPubMed Kesting MR, Hölzle F, Pox C, Thurmüller P, Wolff KD. Animal bite injuries to the head: 132 cases. Br J Oral Maxillofac Surg. 2006;44(3):235–9.CrossRefPubMed
58.
Zurück zum Zitat Lackmann GM, Draf W, Isselstein G, Tollner U. Surgical treatment of facial dog bite injuries in children. J Craniomaxillofac Surg. 1992;20(2):81–6.CrossRefPubMed Lackmann GM, Draf W, Isselstein G, Tollner U. Surgical treatment of facial dog bite injuries in children. J Craniomaxillofac Surg. 1992;20(2):81–6.CrossRefPubMed
60.
Zurück zum Zitat Javaid M, Feldberg L, Gipson M. Primary repair of dog bites to the face: 40 cases. J R Soc Med. 1998;91(8):414–6.PubMedPubMedCentral Javaid M, Feldberg L, Gipson M. Primary repair of dog bites to the face: 40 cases. J R Soc Med. 1998;91(8):414–6.PubMedPubMedCentral
61.
Zurück zum Zitat Mitchell RB, Nanez G, Wagner JD, Kelly J. Dog bites of the scalp, face, and neck in children. Laryngoscope. 2013;113(3):492–5.CrossRef Mitchell RB, Nanez G, Wagner JD, Kelly J. Dog bites of the scalp, face, and neck in children. Laryngoscope. 2013;113(3):492–5.CrossRef
62.
Zurück zum Zitat Kountakis SE, Chamblee SA, Maillard AA, Stiernberg CM. Animal bites to the head and neck. Ear Nose Throat J. 1998;77(3):216–20.PubMed Kountakis SE, Chamblee SA, Maillard AA, Stiernberg CM. Animal bites to the head and neck. Ear Nose Throat J. 1998;77(3):216–20.PubMed
63.
Zurück zum Zitat Earley MJ, Bardsley AF. Human bites: a review. Br J Plastic Surg. 1984;37(4):458–62.CrossRef Earley MJ, Bardsley AF. Human bites: a review. Br J Plastic Surg. 1984;37(4):458–62.CrossRef
64.
Zurück zum Zitat Lindsey D, Christopher M, Hollenbach J, Boyd JH, Lindsey WE. Natural course of the human bite wound: incidence of infection and complications in 434 bites and 803 lacerations in the same group of patients. J Trauma. 1987;27(1):45–8.CrossRefPubMed Lindsey D, Christopher M, Hollenbach J, Boyd JH, Lindsey WE. Natural course of the human bite wound: incidence of infection and complications in 434 bites and 803 lacerations in the same group of patients. J Trauma. 1987;27(1):45–8.CrossRefPubMed
65.
Zurück zum Zitat Guy JR, Zook EG. Successful treatment of acute head and neck dog bite wounds without antibiotics. Ann Plast Surg. 1986;17(1):45–8.CrossRefPubMed Guy JR, Zook EG. Successful treatment of acute head and neck dog bite wounds without antibiotics. Ann Plast Surg. 1986;17(1):45–8.CrossRefPubMed
66.
Zurück zum Zitat Thomson HG, Svitek V. Small animal bites: the role of primary closure. J Trauma. 1973;13(1):20–3.CrossRefPubMed Thomson HG, Svitek V. Small animal bites: the role of primary closure. J Trauma. 1973;13(1):20–3.CrossRefPubMed
67.
68.
Zurück zum Zitat Zubowicz VN, Gravier M. Management of early human bites of the hand: a prospective randomized study. Plast Reconstr Surg. 1991;88(1):111–4.CrossRefPubMed Zubowicz VN, Gravier M. Management of early human bites of the hand: a prospective randomized study. Plast Reconstr Surg. 1991;88(1):111–4.CrossRefPubMed
69.
Zurück zum Zitat Cummings P. Antibiotics to prevent infection in patients with dog bite wounds: a meta-analysis of randomized trials. Ann Emerg Med. 1994;23(3):535–40.CrossRefPubMed Cummings P. Antibiotics to prevent infection in patients with dog bite wounds: a meta-analysis of randomized trials. Ann Emerg Med. 1994;23(3):535–40.CrossRefPubMed
70.
Zurück zum Zitat Dire DJ, Hogan DE, Riggs MW. A prospective evaluation of risk factors for infections from dog-bite wounds. Acad Emerg Med. 1994;1(3):258–66.CrossRefPubMed Dire DJ, Hogan DE, Riggs MW. A prospective evaluation of risk factors for infections from dog-bite wounds. Acad Emerg Med. 1994;1(3):258–66.CrossRefPubMed
71.
Zurück zum Zitat Hollander JE, Singer AJ, Valentine S, Henry MC. Wound registry: development and validation. Ann Emerg Med. 1995;25(5):675–85.CrossRefPubMed Hollander JE, Singer AJ, Valentine S, Henry MC. Wound registry: development and validation. Ann Emerg Med. 1995;25(5):675–85.CrossRefPubMed
72.
Zurück zum Zitat Rutherford WH, Spence RAJ. Infection in wounds sutured in the accident and emergency department. Ann Emerg Med. 1980;9(7):350–2.CrossRefPubMed Rutherford WH, Spence RAJ. Infection in wounds sutured in the accident and emergency department. Ann Emerg Med. 1980;9(7):350–2.CrossRefPubMed
73.
74.
Zurück zum Zitat Zehtabchi S, Tan A, Yadav K, Badawy A, Lucchesi M. The impact of wound age on the infection rate of simple lacerations repaired in the emergency department. Injury. 2012;43(11):1793–8.CrossRefPubMed Zehtabchi S, Tan A, Yadav K, Badawy A, Lucchesi M. The impact of wound age on the infection rate of simple lacerations repaired in the emergency department. Injury. 2012;43(11):1793–8.CrossRefPubMed
75.
Zurück zum Zitat Weitekamp MR, Caputo GM. Antibiotic prophylaxis: update on common clinical uses. Am Fam Physician. 1993;48(4):597–604.PubMed Weitekamp MR, Caputo GM. Antibiotic prophylaxis: update on common clinical uses. Am Fam Physician. 1993;48(4):597–604.PubMed
76.
Zurück zum Zitat Elenbaas R, McNabey WK, Robinson WA. Prophylactic oxacillin in dog bite wounds. Ann Emerg Med. 1982;11(5):248–51.CrossRefPubMed Elenbaas R, McNabey WK, Robinson WA. Prophylactic oxacillin in dog bite wounds. Ann Emerg Med. 1982;11(5):248–51.CrossRefPubMed
77.
Zurück zum Zitat Jones DA, Szanbridge TN. A clinical trial using co-trimoxatole in an attempt to reduce wound infection rates in dog bite wounds. Postgrad Med J. 1985;61(717):593–4.CrossRefPubMedPubMedCentral Jones DA, Szanbridge TN. A clinical trial using co-trimoxatole in an attempt to reduce wound infection rates in dog bite wounds. Postgrad Med J. 1985;61(717):593–4.CrossRefPubMedPubMedCentral
78.
Zurück zum Zitat Dire DJ. Emergency management of dog and cat bite wounds. Emerg Med Clin North Am. 1992;10(4):719–36.PubMed Dire DJ. Emergency management of dog and cat bite wounds. Emerg Med Clin North Am. 1992;10(4):719–36.PubMed
79.
Zurück zum Zitat Evgeniou E, Markeson D, Iyer S, Armstrong A. The management of animal bites in the United Kingdom. Eplasty. 2013;13:e27.PubMedPubMedCentral Evgeniou E, Markeson D, Iyer S, Armstrong A. The management of animal bites in the United Kingdom. Eplasty. 2013;13:e27.PubMedPubMedCentral
81.
Zurück zum Zitat Gilbert DN, Moellering RC Jr., Sande MA. The Sanford guide to antimicrobial therapy. 32nd ed. Hyde Park (VT): Antimicrobial Therapy, Inc.; 2002. Gilbert DN, Moellering RC Jr., Sande MA. The Sanford guide to antimicrobial therapy. 32nd ed. Hyde Park (VT): Antimicrobial Therapy, Inc.; 2002.
82.
Zurück zum Zitat Liebana J, Castillo AM, Alvarez M. Periodontal diseases: microbiological considerations. Med Oral Patol Oral Cir Bucal. 2004;9 (Suppl.):75–91. Liebana J, Castillo AM, Alvarez M. Periodontal diseases: microbiological considerations. Med Oral Patol Oral Cir Bucal. 2004;9 (Suppl.):75–91.
83.
Zurück zum Zitat Hosoda T, Yanagisawa N, Morioka H, Suganuma A, Imamura A, Ajisawa A. Necrotizing fasciitis after a cat bite: a case report. Kansenshogaku Zasshi. 2013;87(2):211–4.CrossRefPubMed Hosoda T, Yanagisawa N, Morioka H, Suganuma A, Imamura A, Ajisawa A. Necrotizing fasciitis after a cat bite: a case report. Kansenshogaku Zasshi. 2013;87(2):211–4.CrossRefPubMed
84.
Zurück zum Zitat Gasser I, Osset J, Olarte I, Olsina M, Arcalis L. Bite wound infections: study of 22 hospitalized patients. Enferm Infecc Microbiol Clin. 1993;11(9):482–6.PubMed Gasser I, Osset J, Olarte I, Olsina M, Arcalis L. Bite wound infections: study of 22 hospitalized patients. Enferm Infecc Microbiol Clin. 1993;11(9):482–6.PubMed
85.
Zurück zum Zitat Davis HD. When your best friend bites: a note on dog and cat bites. Paediatr Child Health. 2000;5(7):381–4. Davis HD. When your best friend bites: a note on dog and cat bites. Paediatr Child Health. 2000;5(7):381–4.
Metadaten
Titel
Management of bite wounds in children and adults—an analysis of over 5000 cases at a level I trauma centre
verfasst von
Manuela Jaindl
Gerhard Oberleitner
Georg Endler
Christiane Thallinger
Florian M. Kovar, MD
Publikationsdatum
01.05.2016
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 9-10/2016
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0900-x

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