Thử nhiệm TOC

II. Dịch tễ học

  1. Chiếm 5-10% số người bị súc vật cắn
  2. High infection rate (50%)
  3. Most common in adult women, and typically involves extremities

III. Pathophysiology

  1. Long slender fangs result in
    1. Puncture Wounds (57-86%)
    2. Superficial abrasions (9-25%)
    3. Lacerations (5-17%)

IV. Causes: Secondary infection

  1. Pasteurella (53-80% of infections)
    1. Rapidly developing (<24 hours)
    2. Intense inflammation
    3. Possible bone, joint, or tendon involvement

V. Complications

  1. Cat Scratch Disease

VI. Management

  1. See Animal Bite for irrigation and general management
  2. Antibiotic coverage
    1. Similar antibiotics as for Dog Bite Infection
    2. All Cat Bites should receive antibiotics
    3. Amoxicillin-clavulanate (Augmentin) or
    4. Second-generation Cephalosporin
  3. DO NOT close punctures or Lacerations over 1-2 cm
    1. Impossible to properly cleaned
  4. Cosmetically important wounds < 1-2 cm
    1. Delayed primary closure

VII. References

  1. Presutti (1997) Postgrad Med 101(4): 243-54 [PubMed]