• Emerg Med J · May 2003

    Multicenter Study

    Barking up the wrong tree? A survey of dog bite wound management.

    • M R Smith, A Walker, and J Brenchley.
    • Emergency Department, Leeds General Infirmary, Leeds, UK.
    • Emerg Med J. 2003 May 1;20(3):253-5.

    ObjectivesSeveral 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.MethodsThe 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.ResultsTwenty one departments were contacted. Only 10% of departments routinely irrigate these wounds. Antibiotics are prescribed routinely in 71%.ConclusionsManagement of dog bite wounds would not seem to be evidence based in most departments in this sample.

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