Management includes local care wound approximation, administration of antimicrobials and tetanus and rabies (when indicated) immunization, Herpes B virus evaluation (in monkey bites), and re-examination at 24 and 48 hours. The incidence should be reported to the local health department when indicated.
The rules governing the management of any laceration also apply to animal bites: cleanse, explore, irrigate, debride, drain, and possibly suture. Bite wounds should be washed vigorously with soap or a quaternary ammonium compound and water. The site should be explored for damage to, tendons, blood vessels, joints, and bones. Devitalized tissues should be debrided. Whether bite wounds that are clinically uninfected and are seen within 24 hours should be surgically closed, remains controversial.
Table 1: Common bacterial isolates from dog and cat bite wounds
Aerobic and anaerobic bacteria of endogenous source can cause infections in necrotic tumor, especially when they occur in proximity to a site where these bacteria reside as part of the normal flora.