Surgery -facts -Human bite wounds Human bite wounds are notoriously deceptive and are often underestimated and undertreated. While controversies regarding optimal management continue, the basic tenets of meticulous wound care are no different than those for contaminated wounds.The goals of therapy are to prevent or appropriately treat infection and to minimize the soft tissue deformity. Recognition and early, aggressive treatment are mandatory to prevent infection and associated complications. Approximately 10-15% of human bite wounds become infected, and this considerable infection rate is multifactorial. Patients often wait until infection is established before presenting late in the course of their injury, thus necessitating medical attention. Wounds evaluated earlier are frequently more extensive than estimated on initial examination by the inexperienced observer and are frequently managed inadequately.The bacterial inoculum of human bite wounds is rich in oral flora, as saliva contains as many as 100,000,000 organisms per mL, representing as many as 190 different species. Moreover, most of these injuries occur on the hands, and hand wounds of any cause have a higher infection rate than similar wounds in other anatomic locations.The possibility of transmission of disease through human bites must be considered. Human bites have been shown to transmit hepatitis B, hepatitis C, herpes simplex virus (HSV), syphilis, tuberculosis, actinomycosis, and tetanus. Evidence suggests that it is biologically possible to transmit HIV through human bites, although this is quite unlikely. To see complete article click this link- mbbsdost/fbapp/index.php?mno=163 To get medical knowledge updates on your facebook profile visit- mbbsdost/fbup/
Posted on: Sun, 10 Nov 2013 18:30:03 +0000
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