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At least 19 recordsLinked to original sources
PubMedDate not supplied

An epidemiologic study of the human bite.

The 892 human bites reported to the New York City Department of Health in 1977 were analyzed by time, place, and the victim's characteristics. The bites appeared to have a seasonality, increasing in March and exceeding the mean monthly average through August. The bite rate for the entire city, 10.7 per 100,000 population, was exceeded in 5 of the 10 Brooklyn health districts; one of these districts reported a rate of 60.9 human bites per 100,000 population. Most of the bites with identifiable locations occurred indoors (63.2 percent). In 72.8 percent of the bite episodes in which the activities surrounding them were known, these activities were aggressive in nature. Males exceeded females as bite victims in all age groups except those 10-20 and 55-60 years. Bites of the upper extremity accounted for 61.2 percent of the total bites. Left-sided bites exceeded right-sided, except for the hand. In frequency of reported occurrence, the human bite ranks third, after the dog bite and the cat bite. Human bites may be a useful indicator of antisocial behavior.

Adolescent↗
PubMed1992

Human bites in children.

Human bites are common during childhood and usually result from fights or aggressive play with another child. Bites may present as indentation marks, scratches, abrasions, contusions, or lacerations. Most human bite wounds are sustained on the upper extremities, followed by the face and neck, the trunk, and the lower extremities. Infection is the most common complication. Cultures of an infected bite wound yield an average of five microorganisms. This article reviews the current recommendations on the management of human bite wounds in children.

Bites, Human↗
PubMed1992

Primary closure of human bite losses of the lip.

Human bite injuries of the lip have, because of the potentially contaminated nature of the wounds, been managed by delayed repair after an interval of about 3 months or more when the infection was controlled and the wound healed. On the contrary, from 1985 to 1990, at a plastic surgery unit in Nigeria, a developing country, 37 patients with human bite losses of the lip were managed by an aggressive approach utilizing (1) a 5-day course of antibiotics locally known to be effective against bacterial flora and (2) immediate surgical operation employing the diamond wedge excision method under local anesthesia with direct wound closure. The results have been so favorable that this method of management of human bite injuries is considered a treatment advance.

Ampicillin↗
PubMed1992

Human bites to the penis.

Victims of human bites to the penis often do not seek timely medical attention and dangerous progression of infection may ensue. We present 5 cases, 1 of which evolved into necrotizing fasciitis of the lower abdomen. Recommendations for management of these wounds include aggressive local wound care, empiric antibiotics and careful observation for necrotizing complications.

Adult↗
PubMed1991

Experience with human bites in Zimbabwe.

We present a study of 64 patients treated for human bites at Mpilo Central Hospital in the two-and-a-half-year period from January 1988 to June 1990. The majority of patients, i.e. 35 (55 pc) were treated on an outpatient basis, where as the remaining 29 patients (45 pc) required in-patient treatment. There were more female victims, 36 (56 pc) than male victims, 28 (44 pc), during the course of this study. The commonest human bites involved the lower lip and the fingers which between them accounted for 53 pc of the cases. The assailant was a women in 61 pc of cases, a man in 35 pc of cases and a child in the remainder. Altercations between husband and wife were the most likely to end up in human bite cases.

Adolescent↗
PubMed1992

Primary reconstruction of major human bite wounds of the face.

Primary reconstruction of 36 major human bite wounds of the face without clinical infection has been carried out successfully as late as the fourth day after the initial injury. Primary healing was achieved in all patients. The postoperative period was free from major infection in all patients except one, including the latecomers. Extensive bacteriologic studies reveal that the infection in human bite wounds occurs secondarily as invasion to devitalized tissue. We therefore consider that debridement of wound edges to eliminate the crushed devitalized tissue is the key to success.

Adolescent↗
PubMedDate not supplied

Tetanus following human bite.

We present an unusual case of tetanus which followed a human bite. The patient, a 43-year-old woman, developed tetanus within 4 days of sustaining a human bite. She died 6 days after admission despite aggressive management in the intensive care unit.

Adult↗
PubMed1979

The management of human bite injuries of the hand.

Three hundred twenty-seven bite injuries of the hand were reviewed for incidence of infectious complications. A policy to hospitalize all patients with human bite injuries was maintained, but noncompliance was high. Patients with uninfected or superficially infected bites (131) were hospitalized and treated with parenteral penicillin, cephalosporins, or clindamycin (mean duration, 45 hours). Among the 62 patients not lost to followup three minor septic complications occurred. Of similar patients not hospitalized (134), only two thirds received antibiotic therapy but no complications were observed. These data suggest that human bite hand infections can be averted and that established superficial infections can be successfully treated with outpatient antibiotic therapy. Of the 62 patients with moderately to severely infected human bites, 77% were injured by striking an opponent; 52% suffered injury over metacarpophalangeal joints. The mean delay in seeking medical attention was 2 1/2 days, compared to 1/2 day in the less severely infected group. Of the patients with more seriously infected bites, 94% received parenteral antibiotic therapy. Of 30 patients with known outcome in the latter group 27% suffered complications (stiffness; recurrent infection; other infectious complication), confirming the high morbidity of established deep hand infections secondary to human bites.

Bites and Stings↗
PubMed1979

Human bites of the face.

A series of 25 cases of human bites of the facial region has been presented. Treatment procedure has been outlined for use in both infected and noninfected cases. Three case histories have been outlined.

Adult↗
PubMedDate not supplied

Eikenella corrodens in human bites.

Eikenella corrodens, a gram negative rod, was cultured in about one third of 24 patients with human bite wounds. The organism was sensitive to penicillin but not to methicillin. Clinically the infections in which Eikenella corrodens were found were not different from other infections. Because of the variety of possible pathogens in human bite infections, we start the patients on a broad spectrum antibiotic while awaiting the results of the culture and sensitivity. However, antibiotics alone are not sufficient treatment in HBI; 20 of 24 patients in this series required surgical drainage. Surgical treatment consists of thorough exploration, exteriorization and excision of devitalized tissues. Complications were more frequent in sutured wounds, or when surgical drainage was delayed.

Adolescent↗
PubMed1992

[Severe human bite injuries in a 7-day-old newborn infant].

It is reported about a 7-day-old newborn showing considerable bite wounds in his face. Due to the evidence of blood group characteristics on his pajamas and by means of a dental impression, the 2 1/2-year-old brother was "found guilty" of having caused the injuries. During a short antibiotic treatment the bite wounds cleared, showing very good results. Jealousy is assumed to be the reason for the incidence. Based on a comprehensive and also child-psychiatric examination of the family, other reasons could be excluded. Similar cases of sibling violence with newborns, partly fatal, are reported in literature. If infants fear to loose the security of their homes, jealousy may lead to severe aggressive reactions.

Bites, Human↗