Protocolo diagnóstico y terapéutico del tratamiento de las mordeduras de animales y de seres humanos

  1. Pérez-Jacoiste Asín, M.A.
  2. Lora-Tamayo, J.
  3. Lumbreras, C.
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2018

Issue Title: Enfermedades infecciosas (I) Infecciones por bacterias Gram positivas

Series: 12

Issue: 49

Pages: 2924-2928

Type: Article

DOI: HTTPS://DOI.ORG/10.1016/J.MED.2018.02.008 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Bites given by animals and humans are a not uncommon reason for medical consultation. Bites from cats and from humans have greater risk of infection, as do those which are extensive or profound, those affecting the face and hands, those near to joints and those with delayed medical attention or in immunodepressed patients. The microorganisms responsible are those common to the oral bacterial flora of animals. Initial treatment implies careful assessment of damages and risk of infection, wound cleaning and raising of the affected limb. In cases where there is risk of infection, a short course of prophylactic antibiotics should be considered. Short-term reassessment of the wound is also important. In cases of associated infection, wound cleaning must be encouraged, together with the removal of necrotic tissue and foreign bodies and a longer course of antibiotics should be administered.

Bibliographic References

  • Dire DJ. Emergency management of dog and cat bite wounds. Emerg Med Clin North Am. 1992;10:719-36.
  • Goldstein EJ. Bite wounds and infection. Clin Infect Dis. 1992;14:633-40.
  • Lohiya GS, Tan-Figueroa L, Lohiya S, Lohiya S. Human bites: bloodborne pathogen risk and postexposure follow-up algorithm. J Natl Med Assoc. 2013;105(1):92-5.
  • Bartholomew CF, Jones AM. Human bites: a rare risk factor for HIV transmission. AIDS. 2006;20:631-2.
  • Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldestein EJ. Practice guidelines for the diagnosis and management of skin and soft tissue infections. Clin Infect Dis. 2005;41:1373-406.
  • Bradley JS. Bite wounds infections. Pediatric infectious diseases. Principles and practice. Philadelphia: WB Saunders Co.; 2000. p. 602-9.
  • Davis LG, Weber DJ, Lemon SM. Horizontal transmission of hepatitis B virus. Lancet. 1989;1:889-93.
  • Uman SJ, Kunin CM. Needle aspiration in the diagnosis of soft tissue infections. Arch Intern Med. 1975;135:959-61
  • Talan DA, Citron DM, Abrahamian FM, Moran JG, Goldstein EJ. Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group. N Engl J Med. 1999;340:85-92.
  • Talan DA, Abrahamian FM, Moran GJ, Citron DM, Tan JO, Goldstein EJ. Emergency Medicine Human Bite Infection Study Group. Clinical presentation and bacteriologic analysis of infected human bites in patients presenting to emergency departments. Clin Infect Dis. 2003;37:1481-9.
  • Medeiros I, Saconato H. Antibiotic prophylaxis for mammalian bites. Cochrane Database Syst Rev. 2001;2:CD001738.
  • Huzly D, Neifer S, Reinke P, Schröder K, Schönfeld C, Hofmann T. Routine immunizations in adult renal transplant recipients. Transplantation. 1997;63:839-45.
  • Rupprecht CE, Gibbons RV. Clinical practice. Prophylaxis against rabies. N Engl J Med. 2004;351:2626-35.