As a matter of fact 3M says that the infection rate with Dermabond is the same as that with sutures. It is O2 permeable. I routinely suture bites to the face for the cosmetic effect and treat prophylactically with Augmentin. Bites elsewhere depend on the severity, and I don't treat prophylactically. This child was placed on Augmentin by the ER. I completely agree that bite wounds need COPIOUS irrigation. I START with 500ml saline, and often use more. I don't know how well the ER irrigated. After seeing this wound basically build up pus underneath the Dermabond seal until it finally ruptured through, I don't think I'll ever use Dermabond on bite wounds. At least with sutures drainage would be immediate. Paul R Prescott, MD