Biting off more than you can chew : microbiological flora isolated from human and animal bite wounds

Show simple item record Visser, Adele Visser, Hilgaard Frans 2013-07-08T13:51:43Z 2013-07-08T13:51:43Z 2012
dc.description This study has been approved by the Research Ethics Committee of the University of Pretoria, protocol number 58/2009. No benefits of any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. en_US
dc.description.abstract BACKGROUND: Bite wounds, from human and animal origin, can lead to significant complications if appropriate therapy is not undertaken timeously. A basic knowledge of the microbiological flora is essential for each clinical setting in order to be able to facilitate appropriate empiric antibiotic therapy. MATERIAL AND METHODS: All patients admitted to the Steve Biko Academic Hospital over a 27-month period with histories of bite wound and taken to theatre for debridement were included in this study. All culture data was collected together with sensitivity profiles for all organisms isolated. RESULTS: In total, 38 patients were included in this study, with 25 sustaining human bite wounds, 11 sustaining dog bites, and only two with snake bites. The most striking finding is the predominance of Streptococcus spp isolated from human bite wounds. Although a relatively rare finding, Salmonella spp was isolated from one of the patients who sustained a snake bite. A surprising fraction of isolates were resistant to Amox-Clav, with only marginally improved sensitivity rates to second generation cephalosporins and fluoroquinolones. CONCLUSIONS: This study emphasises the importance of obtaining microbiological cultures on all patients admitted with bite wounds. This will not only assist in surveillance practices, but also provides the clinician with targeted therapy if the empiric antimicrobial should fail. en_US
dc.description.librarian am2013 en_US
dc.description.librarian ay2013
dc.description.sponsorship The Discovery Foundation en_US
dc.description.sponsorship ay2013
dc.description.uri en_US
dc.identifier.citation Visser, A & Visser, HF 2012 ,'Biting off more than you can chew : microbiological flora isolated from human and animal bite wounds', SA Orthopaedic Journal, vol. 11, no. 2, pp. 43-48. en_US
dc.identifier.issn 1681-150X
dc.language.iso en en_US
dc.publisher Media 24 & South African Orthopaedic Association en_US
dc.rights Media 24 & South African Orthopaedic Association en_US
dc.subject Animal bites en_US
dc.subject Human bites en_US
dc.subject Flora en_US
dc.subject.lcsh Wounds and injuries en
dc.subject.lcsh Microbiology -- Research -- South Africa en
dc.subject.lcsh Bites and stings en
dc.subject.lcsh Antibiotics en
dc.subject.lcsh Streptococcus -- South Africa en
dc.title Biting off more than you can chew : microbiological flora isolated from human and animal bite wounds en_US
dc.type Article en_US

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