INFECTIOUS DISEASE
BITES
PromptCat bite infection - organisims
ResponseS. Aureus
Streptococcus (mitis)
Pasturella multicida
Streptococcus (mitis)
Pasturella multicida
PromptIndicators for inpatient admission in bite wounds
ResponseWound factors
Pain on flexion - Deeper tissue (tendon) involvement
Pus from puncture wound - Bite <24h likely pasturella
Rapidly spreading erythema/tracking lymphangitis - Bite <24h ?pasturella
Worsening/severe pain - deep tissue involvement/abscess formation/bone/joint involvement
Systemically unwell, confused, shocked - Too sick for oral therapy
Patient factors
Immunocompromised
Comorbidities (etc)
Social factors
Can’t manage at home, compliance
Pain on flexion - Deeper tissue (tendon) involvement
Pus from puncture wound - Bite <24h likely pasturella
Rapidly spreading erythema/tracking lymphangitis - Bite <24h ?pasturella
Worsening/severe pain - deep tissue involvement/abscess formation/bone/joint involvement
Systemically unwell, confused, shocked - Too sick for oral therapy
Patient factors
Immunocompromised
Comorbidities (etc)
Social factors
Can’t manage at home, compliance