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Treatment involves surgical attention as well as medications. Because bites cause puncturing and tearing of skin rather than clean-edged cuts, they must be carefully cleansed. The doctor will wash the wound with water under high pressure and debride it. Debridement is the removal of dead tissue and foreign objects from a wound to prevent infection. If the bite is a closed-fist injury, the doctor will look for torn tendons or damage to the spaces between the joints. Examination includes x rays to check for bone fractures or foreign objects in the wound.
Doctors do not usually suture a bite wound because the connective tissues and other structures in the hand form many small closed spaces that make it easy for infection to spread. Emergency room doctors often consult surgical specialists if a patient has a deep closed-fist injury or one that appears already infected.
The doctor will make sure that the patient is immunized against tetanus, which is routine procedure for any open wound. A study released in June 2004 showed that routine use of antibiotics for human bites may not be necessary, as physicians try to minimize overuse of antibiotics. Superficial wounds in low-risk areas may no longer need antibiotic treatment, but more serious human bites to high-risk areas such as the hands should be treated with antibiotics to prevent serious infection. Patients with closed-fist injuries may need inpatient treatment in addition to an intravenous antibiotic.
Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.";

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