This review is aimed at clinicians who deal with dog bites. w1 w2 Large wounds, significant devitalisation, and high mortality can result, with the highest mortality in neonates (six times that in toddlers), who are usually bitten by household pets. The biting force of canine jaws varies with the breed, from 310 kPa to nearly 31 790 kPa in specially trained attack dogs. The “hole and tear” effect-whereby canine teeth anchor the person while other teeth bite, shear, and tear the tissues-results in stretch lacerations, easily piercing immature cranial bones. Increasingly, dog bites are the subject of litigation because bite wounds are still being sutured when they should be left open and because of incorrect antimicrobial prophylaxis. Patients at particularly high risk of infection are immunosuppressed patients, particularly those with asplenia or cirrhosis or those who have had a mastectomy
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