Skip to main content

Bites, Animal and Human

Kathryn Samai, PharmD, BCPS and Brian J. Kimbrell, MD, FACS Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Animal bite rates vary by species: dogs (60–90%), cats (5–20%), rodents (2–3%), humans (2–3%), and (rarely) other animals, including snakes

  • System(s) affected: potentially any

Pediatri...

DIAGNOSIS

HISTORY

  • Detailed history of the incident (provoked or unprovoked); type/breed of animal; vaccine status; whereabouts of animal

  • Site of the bite

  • Geographic setting

  • Underlying medical history—part...

TREATMENT

GENERAL MEASURES

  • Complete and submit bite report per local policy.

  • Elevate the injured extremity to prevent swelling.

  • Contact local health department to determine rabies prevalence in biting sp...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Recheck for infection in 24 to 48 hours.

  • Daily follow-up for infections to ensure resolution

  • Base revisions of antibiotic therapy on culture resul...

REFERENCES

1
Aziz H, Rhee P, Pandit Vet al. The current concepts in management of animal (dog, cat, snake, scorpion) and human bite wounds. J Trauma Acute Care Surg.  2015;78(3):641–648. [View Abs...

ADDITIONAL READING

CODES

ICD10

  • S61.459A Open bite of unspecified hand, initial encounter

  • S01.85XA Open bite of other part of head, initial encounter

  • S20.97XA Other superficial bite of unspecified parts of thorax, initial e...

CLINICAL PEARLS

  • Dog bites are the most common.

  • Cleanse, débride, and culture if any signs of infection.

  • Antibiotic prophylaxis is recommended for human bites and high-risk wounds.

  • Consider rabies and tet...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×