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著者:Philip M. Buttaravoli and Kevin J. Brochu
 
Abstract
Bites are a common presentation that require the balance of wound repair for cosmesis and function with the risk of infection. This chapter presents an overview and discusses factors that make wounds high risk vs. low risk for infection. In addition, antibiotic regimens are discussed from both prophylaxis and treatment views.
 
Keywords
animal bite
bite wounds
cat bite
dog bite
fight bite
HIV postexposure prophylaxis
Human bite
mammalian bites
monkey bites
PEP
rabies postexposure prophylaxis

Presentation  
    Histories of animal bites are usually volunteered, but the history of a human bite, such as one obtained over the knuckle during a fight, is more likely to be denied or explained only after direct questioning. Dog bites make up about 60% to 80% of all bite injuries, followed by cats (20–30%). Urban medical centers may see human bites more frequently (up to 20%). In the United States the annual incidence of animal bites is 1 to 2 million per year (200/100,000 people per year).
     
    Bites may cause injuries from abrasions, to lacerations, puncture wounds, soft tissue crush injuries, fractures and tendon injuries, and amputations. Patients either will present with a fresh wound soon after the injury or will delay and only seek help after developing painful signs of infection.
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