Increased risk of infection – Staphyloccoci, Streptococci, Bacteroides, Anaerobic cocci and Pasturella multocida (more common in cat bites)
Rabies prophylaxis is not routinely required for bites in Australia but beware of patients presenting from rabies-endemic regions (Asia, Africa, Central and South America). Includes Bali from August 2008. See WHO: Rabies enzootic areas. Refer to Rabies and Lyssavirus
Apply EMLA if patient condition is suggestive of requiring intravenous antibiotics
Baseline observations include heart rate, blood pressure, respiratory rate, oxygen saturations, temperature and neurovascular observations (if circumferential or significant swelling).
Minimum of hourly observations should be recorded whilst in the emergency department.
Any significant changes should be reported immediately to the medical team.
WA Health Child and Adolescent Health Service. Skin, Soft Tissue and Orthopaedic Infections ChAMP Empiric Guidelines Version 2, August 2014
External Review: Christopher Blyth (Infectious Diseases Consultant) September 2015
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