Animal and Snake Bites

Accession number;05A0261247
Title;Animal and Snake Bites
Author; MIYAGI YOSHIMITSU (Okinawakenchububyoin Chiikikyumeikyukyushinryoka)
Journal Title;Japanese Journal of Pediatric Surgery
Journal Code:Z0323B
ISSN:0385-6313
VOL.37;NO.2;PAGE.207-215(2005)
Figure&Table&Reference;FIG.4, TBL.5, REF.6
Pub. Country;Japan
Language;Japanese
Abstract;Animal bites are relatively common. Dog bites account for 80% to 90% of all animal bites requiring treatment. A large percentage of dog bite victims are children. The rules of animal bite management are: cleanse, explore, irrigate, debride, drain, and possibly suture. There is controversy over the use of antibiotics. Antimicrobial prophylaxis is recommended for hand bite wounds, deep puncture wounds, wounds requiring surgical debridement, older patients, and immunocompromised patients. The most poisonous snakes in Japan are Mamushi and Habu. We have no guidelines based on EBM for cure first aid for poisonous snake bites. Out-of-hospital care should focus on stabilization and rapid transport of the victim to a health care facility with the capability of antivenom administration. (author abst.)