Infected bite wounds

I Bite-wound infections generally are polymicrobial. On average, five different bacterial species can be isolated from an infected animal bite wound.3 Both the normal flora of the biter s mouth and that of the bite recipient s skin can be implicated. The bacteriology of the cat and dog mouth is quite similar. Pasteurella multocida, a gram-negative aerobe, is one of the predominant pathogens, isolated in up to 50% of dog and 75% of cat bites. S. viridans are the most frequently cultured bacteria from human bite wounds.3,43 Table 70-10 provides a comprehensive list of cat, dog, and human bite-wound pathogens. 

The most effective agent for the treatment (and prophylaxis) of human and animal bite-wound infections is amoxicillin-clavulanate. Alternatives for patients with significant penicillin allergies include either a fluoroquinolone or TMP-SMX in combination with clindamycin. Doxycycline also may be prescribed. The durations of prophylaxis and treatment generally are 3 to 5 and 10 to 14 days, respectively.3... 

Another bacterium that contributes to commensal biofilms is Eikenella corrodens, a gram negative, small rod (Fig. 13.2c). E. corrodens grows in a healthy oral cavity by reducing nitrate in saliva to nitrite (Sects. 1.3.2 and 12.1.3). It is an important contributor to bite wound infections and is also the major known producer of lysine decarboxylase, which converts lysine to cadaverine and carbon dioxide (Fig. 13.4). Lysine is a nutritionally essential amino acid, whereas cadaverine is not. In humans, E. corrodens and lysine... 

Goldstein EJC, Citron DM, Finegold SM. Role of anaerobic bacteria in bite wound infections. Rev Infect Dis 1984 6(suppl T) S 177-183. 

Brooks I. Microbiology and management of human and animal bite wound infections. Primary Care Clin Office Pract 2003 30 1-11. 

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See also in sourсe #XX -- [ , ]

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