Procedures for Managing Animal and Human Bites

Human Bites in Children

American Journal of Diseases of Children ◽

10.1001/archpedi.1987.04460120047032 ◽

1987 ◽

Vol 141 (12) ◽

pp. 1285 ◽

Cited By ~ 33

Author(s):

M. Douglas Baker

Keyword(s):

Human Bites

Download Full-text

Human Bite on Nose

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2019.v27i3.18 ◽

2019 ◽

Vol 27 (3) ◽

pp. 255-257

Author(s):

Prasit Biswas ◽

Shriyash Sinha ◽

Somnath Saha

Keyword(s):

Alcohol Intoxication ◽

Stable Condition ◽

Tissue Loss ◽

Forehead Flap ◽

Human Bite ◽

Psychiatric Illnesses ◽

Human Bites ◽

Direct Inoculation ◽

Delayed Closure ◽

Bite Injuries

Introduction Human bites are notorious due to chance of infection by direct inoculation of pathogens from saliva and must be managed properly. Human bite injuries cause dilemma to the treating doctor regarding its way of management. The options of management are primary closure, delayed closure with skin/tissue grafting and conservative. Case Report A 43 year old male patient with a human bite injury with tissue loss on the tip of nose was admitted in hemodynamically stable condition. He was given tetanus toxoid and anti-rabies vaccination as per current guidelines. Delayed wound closure was done in 2 steps with forehead flap, in 3 weeks interval. Patient was discharged after suture removal. There was good color matching and no complications. Discussion Human bite injuries are mostly due to inter personal violence, alcohol intoxication and psychiatric illnesses. Multiple instances of such bite injuries have been reported. Delayed closure of bite injuries with forehead flap provides good colour and texture match as well as good flap survival due to rich vascularity.

Download Full-text

Awareness levels of teachers regarding the physical abuse in children

Global Journal of Guidance and Counseling in Schools Current Perspectives ◽

10.18844/gjgc.v5i2.462 ◽

2016 ◽

Vol 5 (2) ◽

pp. 57-66 ◽

Cited By ~ 1

Author(s):

Mualla Yılmaz ◽

Ugur Kocak ◽

Kamil Celebiyılmaz ◽

Zeliha Yaman ◽

Halis Dokgoz ◽

...

Keyword(s):

Child Abuse ◽

Student Teachers ◽

Physical Abuse ◽

Child Neglect ◽

Primary Schools ◽

Simple Random Sampling ◽

Study Data ◽

National Education ◽

Human Bites ◽

Research Population

The aim of our research is to determine the awareness of primary school teachers on physical abuse in children according to their gender and professional experience. Material and Methods, Teachers in primary schools of four central distinct Directorate of National Education within Mersin province constituted the research population of the study. Teachers who agreed to participate in research based on a voluntary basis according to simple random sampling method (n:137) formed the research sample of the study. Data were collected using a survey having 21 questions which were rephrased by researchers. Research ethical committee and National Education Directorate approvals relating the study were taken prior to data collection. Results, In this study, teachers are determined to be female in 51%, to have a mean age of 37.58±7.64 to be married in 86.9%. “Bruises and wounds on child’s face” which is a physical abuse indication is regarded by teachers as a physical abuse indication in 88.3% while 11.7% of them do not regarded the marks as a physical abuse. Human bites are realized largely for the purpose of punishment and they show abuse. Child's hand and arm are the areas where an adult hold the child tightly. “Bruises and bite marks on child’s hand and arm” which is a physical abuse indication is regarded by teachers as a physical abuse indication in 93.4% while 6.6% of them do not regarded the marks as a physical abuse. 70.8% of the teachers have encountered “parental disregard to their children” finding within last two years. Conclusion, It is recommended that training about child abuse and child neglect which is qualified to meet the requirements of students and their families should be given to graduate teachers and student teachers studying in early childhood education.Keywords: child, abuse, physical, psychology

Download Full-text

Soft Tissue Infection

10.2310/surg.2036 ◽

2019 ◽

Author(s):

Mark A. Malangoni ◽

Christopher R McHenry

Keyword(s):

Soft Tissue ◽

Soft Tissue Infection ◽

Toxic Shock Syndrome ◽

Bacterial Infections ◽

Subcutaneous Tissue ◽

Tissue Infection ◽

Soft Tissue Infections ◽

Toxic Shock ◽

Necrotizing Soft Tissue Infection ◽

Human Bites

Soft tissue infections are a diverse group of diseases that involve the skin and underlying subcutaneous tissue, fascia, or muscle. The authors review the diagnosis and management of the main soft tissue infections seen by surgeons, including both superficial infections and necrotizing infections. When the characteristic clinical features of necrotizing soft tissue infection are absent, diagnosis may be difficult. In this setting, laboratory and imaging studies become important. Studies emphasizes that computed tomography should continue to be used judiciously as an adjunct to clinical judgment. The delay between hospital admission and initial débridement is the most critical factor influencing morbidity and mortality. Once the diagnosis of necrotizing soft tissue infection is established, patient survival and soft tissue preservation are best achieved by means of prompt operation. Bacterial infections of the dermis and epidermis are covered in depth, along with animal and human bites. Methicillin-resistant Staphylococcus aureus (MRSA) accounts for up to 70% of all S. aureus infections acquired in the community and is the most common organism identified in patients presenting to the emergency department with a skin or soft tissue infection. The more classic findings associated with deep necrotizing infections—skin discoloration, the formation of bullae, and intense erythema—occur much later in the process. It is important to understand this point so that an early diagnosis can be made and appropriate treatment promptly instituted. The review’s discussion covers in depth the etiology and classification of soft tissue infection, pathogenesis of soft tissue infections, toxic shock syndrome, and reports on mortality from necrotizing soft tissue infection. This review 8 figures, 22 tables, and 58 references. Keywords: Erysipelas, cellulitis, soft tissue infection, necrotizing fasciitis, myonecrosis, toxic shock syndrome

Download Full-text