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Emerg Med J. 2003 May;20(3):253-5.
Barking up the wrong tree? A survey of dog bite wound management.
Smith MR, Walker A, Brenchley J.
Emergency Department, Leeds General Infirmary, Leeds, UK. Emergency Department, Airedale General Hospital, Skipton, UK. Emergency Department, Barnsley District General Hospital, Barnsley, UK.
OBJECTIVES: Several trials have been published examining the role of antibiotics in dog bite wound management. A meta-analysis of these suggests that there is very little benefit to routine antibiotic prescription in these patients. All papers however incorporated rigorous wound care regimens involving large volume irrigation. METHODS: The authors undertook a telephone survey to investigate wound care and prescribing practice in bite wound management in accident and emergency and minor injury units in the Yorkshire region. RESULTS: Twenty one departments were contacted. Only 10% of departments routinely irrigate these wounds. Antibiotics are prescribed routinely in 71%. CONCLUSIONS: Management of dog bite wounds would not seem to be evidence based in most departments in this sample.
online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12748142&dopt=Abstract [PubMed - in process]
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