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Eikenella corrodens in human bites.

Z J Bilos, A Kucharchuk, W Metzger

    Clinical Orthopaedics and Related Research
    |July 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Eikenella corrodens was found in one-third of human bite wound infections. Penicillin was effective, but antibiotics alone were insufficient; surgical drainage was crucial for healing.

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    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Surgical Infections

    Background:

    • Human bite wounds present a polymicrobial challenge.
    • Eikenella corrodens is a potential pathogen in these infections.

    Purpose of the Study:

    • To investigate the prevalence and characteristics of Eikenella corrodens in human bite wound infections.
    • To evaluate the clinical significance and treatment of Eikenella corrodens in human bite wounds.

    Main Methods:

    • Prospective study of 24 patients with human bite wounds.
    • Bacterial culturing and antibiotic sensitivity testing.
    • Clinical assessment and surgical intervention evaluation.

    Main Results:

    • Eikenella corrodens was identified in approximately 33% of cases.

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  • The organism demonstrated sensitivity to penicillin but resistance to methicillin.
  • Infections with Eikenella corrodens were clinically indistinguishable from other bite wound infections.
  • 20 out of 24 patients required surgical drainage.

    • Conclusions:

    • Eikenella corrodens is a relevant pathogen in human bite wound infections.
    • While penicillin is effective, broad-spectrum antibiotics are initially necessary due to polymicrobial nature.
    • Surgical drainage is essential for managing these infections; delayed drainage and wound suturing increase complication risks.