Human Bites
Human Bites is a topic covered in the Washington Manual of Medical Therapeutics.
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- Human bites, particularly clenched fist injuries, are prone to infection and other complications. The normal oral flora of humans includes viridans streptococci, staphylococci, Bacteroides spp., Fusobacterium spp., peptostreptococci, and Eikenella corrodens.
- Prophylaxis with amoxicillin–clavulanate 875 mg/125 mg PO q12h for 5 days is recommended for uninfected wounds.
- Infected wounds may require parenteral therapy, such as ampicillin–sulbactam 1.5 g IV q6h, cefoxitin 2 g IV q8h, or ticarcillin–clavulanate 3.1 g IV q6h for 1–2 weeks. Therapy should be extended to 4–6 weeks if osteomyelitis is present.
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- Human bites, particularly clenched fist injuries, are prone to infection and other complications. The normal oral flora of humans includes viridans streptococci, staphylococci, Bacteroides spp., Fusobacterium spp., peptostreptococci, and Eikenella corrodens.
- Prophylaxis with amoxicillin–clavulanate 875 mg/125 mg PO q12h for 5 days is recommended for uninfected wounds.
- Infected wounds may require parenteral therapy, such as ampicillin–sulbactam 1.5 g IV q6h, cefoxitin 2 g IV q8h, or ticarcillin–clavulanate 3.1 g IV q6h for 1–2 weeks. Therapy should be extended to 4–6 weeks if osteomyelitis is present.
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Citation
Bhat, Pavat, et al., editors. "Human Bites." Washington Manual of Medical Therapeutics, 35th ed., Wolters Kluwer Health, 2016. The Washington Manual, www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602361/1/Human_Bites.
Human Bites. In: Bhat PP, Dretler AA, Gdowski MM, et al, eds. Washington Manual of Medical Therapeutics. Wolters Kluwer Health; 2016. https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602361/1/Human_Bites. Accessed February 6, 2023.
Human Bites. (2016). In Bhat, P., Dretler, A., Gdowski, M., Ramgopal, R., & Williams, D. (Eds.), Washington Manual of Medical Therapeutics (35th ed.). Wolters Kluwer Health. https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602361/1/Human_Bites
Human Bites [Internet]. In: Bhat PP, Dretler AA, Gdowski MM, Ramgopal RR, Williams DD, editors. Washington Manual of Medical Therapeutics. Wolters Kluwer Health; 2016. [cited 2023 February 06]. Available from: https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602361/1/Human_Bites.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Human Bites
ID - 602361
ED - Williams,Dominique,
ED - Bhat,Pavat,
ED - Dretler,Alexandra,
ED - Gdowski,Mark,
ED - Ramgopal,Rajeev,
BT - Washington Manual of Medical Therapeutics
UR - https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602361/1/Human_Bites
PB - Wolters Kluwer Health
ET - 35
DB - The Washington Manual
DP - Unbound Medicine
ER -