Management of human and animal bite wound infection: An overview

被引:44
作者
Brook I. [1 ]
机构
[1] Department of Pediatrics, Georgetown University School of Medicine, Washington, DC 20016
关键词
Rabies; Tularemia; Bite Wound; Eikenella Corrodens; Plesiomonas Shigelloides;
D O I
10.1007/s11908-009-0055-x
中图分类号
学科分类号
摘要
Animal and human bite wounds can lead to serious infections. The organisms recovered generally originate from the biter's oral cavity and the victim's skin flora. Anaerobes were isolated from more than two thirds of human and animal bite infections. Streptococcus pyogenes is often recovered in human bites, Pasteurella multocida in animal bites, Eikenella corrodens in animal and human, Capnocytophaga spp, Neisseria weaveri, Weeksella zoohelcum, Neisseria canis, Staphylococcus intermedius, nonoxidizer-1, and eugonic oxidizer-2 in dog, Flavobacterium group in pig, and Actinobacillus spp in horse and sheep bites. Vibrio spp, Plesiomonas shigelloides, Aeromonas hydrophila, and Pseudomonas spp can cause infections in bites associated with marine settings. In addition to local wound infection, complications include lymphangitis, local abscess, septic arthritis, tenosynovitis, and osteomyelitis. Uncommon complications include endocarditis, meningitis, brain abscess, and sepsis with disseminated intravascular coagulation especially in immunocompromised individuals. Wound management includes administering local care and using proper antimicrobial therapy when needed. © Current Medicine Group, LLC 2009.
引用
收藏
页码:389 / 395
页数:6
相关论文
共 62 条
[21]  
Capellan J., Fong I.W., Tularemia from a cat bite: Case report and review of feline-associated tularemia, Clin Infect Dis, 16, pp. 472-475, (1993)
[22]  
Guba A.M., Mulliken J.B., HoopesJ. E., The selection of antibiotics for human bites of the hand, Plast Reconstr Surg, 56, pp. 538-541, (1975)
[23]  
Goldstein J.C., Citron D.M., Wield B., Et al., Bacteriology of human and animal bite wounds, J Clin Microbiol, 8, pp. 667-672, (1978)
[24]  
Brook I., Microbiology of human and animal bite wounds in children, J Pediatr Infect Dis, 6, pp. 29-32, (1987)
[25]  
Goldstein E.J.C., Citron D.M., FinegoldS. M., Dog bite wounds and infection: A prospective clinical study, Ann Emerg Med, 9, pp. 508-512, (1980)
[26]  
Talan D.A., Citron D.M., Abrahamian F.M., Et al., Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group, N Engl J Med, 340, pp. 85-92, (1999)
[27]  
Holmes G.P., Chapman L.E., Stewart J., Et al., B Virus Working Group: Guidelines for the prevention and treatment of B virus infections in exposed persons, Clin Infect Dis, 20, pp. 421-439, (1995)
[28]  
Peel N.M., Hornridge K.A., Luppino M., Et al., Actinobacillus spp and related bacteria in infected wounds of humans bitten by horses and sheep, J Clin Microbiol, 29, pp. 2535-2538, (1991)
[29]  
Bailey G.D., Moore L.V.H., Love D.N., Johnson J.L., Bacteroides heparinolytica: Deoxyribonucleic acid relatedness of strains from the oral cavity and oral-associated disease conditions of horses, cats, and humans, Int J System Bacteriol, 38, pp. 42-44, (1988)
[30]  
Barnham M., Pig bite injuries and infection: Report of seven human cases, Epidemiol Infect, 101, pp. 641-645, (1988)