Bite wounds constitute an example of trauma wounds at high risk of “truly pathogenic infections” and care should be taken to initially rinse with antiseptics (preferably hydrogen peroxide), supply systemic antibiotics and combine with MPPT topically. This will assure that the potential infection is being fought both from the “inside” and the “outside”.
Bite wounds are caused by a surprising number of different individuals. Examples are mammals such as a human, dog, cat, horse, monkey, bear, ferret and rodents such as a rat and guinea pig; reptiles such as snake and lizard; and fish such as sharks. No matter who caused a bite wound, this is prone to infection due to the diverse mouth microbiota of the aggressor. Whereas “the bacteria recovered from bite wounds are reflective of the oral microbiota (micro flora) of the biting animal” and sometimes “the pathogenic bacteria come from the physical environment at the time of injury” (e.g. what the individual has had its mouth into prior to inflicting the wound/biting), the bacteriology of infected bites is highly diverse and often the infective agent cannot be identified. The diversity includes really fastidious pathogens and high incidence of the failure of identification suggests that other microbes, such as viruses may be involved in some wound infections. For example, it is common knowledge that dog bites can transmit rabies, but few are aware that human bites have been shown to transmit e.g. syphilis, tuberculosis, tetanus and hepatitis B&C just to name a few examples of both bacterial and viral origins. Abrahamian and Goldstein (2011)Bite