Human bites are the most dangerous

Human bites are the most dangerous

Most people fear being attacked by an attack dog on the street. But suppose your beloved cat or a fellow human bites you at home. In that case, the consequences are often even worse because cat or human bites have more serious consequences than a dog bite: 10 to 20 per cent of all dog bites, but up to 45 per cent of all cat bites lead to severe infections.

Cat bites are highly infectious.

The rate is even higher for human bites. Cats are less potent than dogs but have sharper biters. The fine and extremely sharp teeth effortlessly penetrate joints, tendons and bones, and their saliva is highly infectious.

There is a particular risk of bite wounds on the hand that are superficially inconspicuous. Sometimes, only small punctures can be seen, but exotic pathogens spread deep into the bones or tendons. This is often Pasteurella multocida in cats, leading to bone inflammation and sepsis.

 

Also, “love bites” are not without

Arguments cause eighty per cent of human bites, and 20 per cent are “love bites”. Child bites are mostly harmless. But when an adult’s fist collides with someone else’s teeth, irreparable damage often occurs, especially when the source of the injury is lied about. Because human saliva very often contains unusual pathogens. The most dangerous is Eikenella corrodens. It is found in up to 30 per cent of all infected human bite wounds. Such injuries are a case for infection specialists because penicillin and other commonly used antibiotics do not work here.

Treat bite wounds as early as possible.

All bite wounds that are still infected after 24 hours are dangerous. But it shouldn’t come to that. As a first measure, the surface of the bite wounds is cleaned with an iodine solution. The doctor has to rinse deep wounds with a saline solution and surgically remove dead tissue. The doctor then decides whether the wound will be treated with stitches or “open”.

In addition to the type of wound, the patient’s immune system also plays a role. In people who have had their spleen removed or who have an immune deficiency for other reasons, the wound is often treated “openly”. Preventive administration of antibiotics may sometimes be indicated in patients at risk. As a rule, however, this is superfluous in the case of non-inflamed wounds.

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