Management of mammalian bites.
BACKGROUND
Mammalian bites are a significant public health problem in Australia, with the majority of bites coming from dogs. Complications include tissue damage from the bite itself, infection and post-traumatic stress disorder.


OBJECTIVE
This article describes the assessment and management of mammalian bites in the Australian general practice setting based on a PubMed search of the English language literature from the years 1966 to present.


CONCLUSIONS
General practitioners need to be familiar with the treatment of animal bites, pitfalls in management, and the need to educate patients on ways to avoid future bite injuries. Meticulous wound cleaning, irrigation, exploration and debridement is essential to bite wound healing. Recognition of complicating fractures with imaging is important. Risk of infection differs among animal species, although most infected bite wounds are polymicrobial.
Dendle
Claire
C
Department of Infectious Diseases, Southern Health, Melbourne, Victoria. clairedendle@hotmail.com
Looke
David
D
D000818:Animals; D001315:Australia / Q000453:epidemiology; D001733:Bites and Stings / Q000145:classification / Q000453:epidemiology / Q000628:therapy; D018562:Disease Transmission, Infectious / Q000517:prevention & control / Q000706:statistics & numerical data; D004285:Dogs; D006801:Humans; D015994:Incidence; D018570:Risk Assessment / Q000379:methods*; D014611:Vaccination / Q000379:methods