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Emergency departments see many bite wounds. This review covers bite wound assessment and treatment, including suturing and antibiotics, crucial for pet owners during COVID-19.

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Area of Science:

  • Emergency Medicine
  • Public Health
  • Veterinary Medicine

Background:

  • Bite wounds are a frequent reason for emergency department visits.
  • Increased pet adoption and time spent at home during the COVID-19 pandemic are likely to increase bite wound incidence.
  • Appropriate management of bite wounds is essential for emergency physicians.

Purpose of the Study:

  • To review the common types of bite wounds.
  • To outline best practices for physical examination and patient history (anamnesis) in bite wound cases.
  • To provide guidance on bite wound treatment, including suturing decisions and prophylactic antibiotic indications.

Main Methods:

  • Literature review focusing on bite wound epidemiology, diagnosis, and management.
  • Synthesis of current recommendations for emergency department care of bite wounds.
  • Analysis of factors influencing treatment decisions, such as wound characteristics and patient risk factors.

Main Results:

  • Common bite wound presentations and their associated risks are detailed.
  • Guidelines for comprehensive physical assessment and targeted anamnesis are provided.
  • Evidence-based recommendations for wound closure and the judicious use of prophylactic antibiotics are discussed.

Conclusions:

  • Effective management of bite wounds requires a systematic approach encompassing thorough evaluation and appropriate treatment.
  • Understanding when to suture and when to prescribe prophylactic antibiotics is critical for preventing complications.
  • This review equips emergency physicians with essential knowledge to manage the anticipated rise in bite wounds.