| Human Biting Injuries |
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Involuntary biting injuries due to Closed-fist Injuries from fists striking teeth are a common consequence of Fist Fight s. Injuries in which the Knuckle Joint s or Tendon s of the hand are bitten into tend to be the most serious. In spite of their name, Love Bite s are not biting injuries (they involve bruising from sucking, and the skin is not broken), although actual biting injuries are sometimes seen as the result of fetishistic activities. TREATMENT Thorough wound cleaning and management is essential: this involves washing out the wound, the removal of any foreign material and Debriding any dead or infected tissue. Surgical consultation may be required. Antibiotics are an important part of the management of a human bite, but are only effective after wound toilet has been completed. Amoxicillin/Clavanulate 625mg thrice daily for at least ten days is the optimal prophylaxis for infection. If the patient is penicillin-allergic, then use Doxycycline 100mg twice daily with Metronidazole 400mg thrice daily. Macrolides such as Clarithromycin or Erythromycin must not be used to treat human bites because many human oral commensals are resistant to these antibiotics. Clindamycin is also ineffective Due to the risk of hepatitis B transmission, the non immunized patient should be offered a dose of Hep B immune globulin, followed by an accelerated course of the Hep B series. SEE ALSO EXTERNAL LINKS
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