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RE: Dermabond and dog bites

Paul R Prescott, MD wrote:


>As a matter of fact 3M says that the infection rate with Dermabond is
>the same as that with sutures. It is O2 permeable.

That's what I'd expect 3M to say.  Color me skeptical.  If fact, I think
you're skeptical too, from your last comment.  --> (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.)

To respond also to Mike's question about what antibiotics the list members
like to use for prophylaxis against infection in bites, I only use
prophylactic antibiotics if I close the wound.  I don't vary the antibiotic
according to the source of the bite.  If using IV antibiotics, I like Unasyn
(amp + sulbactam).  For oral antibiotics, I tend to use Augmentin, but I
think high dose penicillin +/- a first generation cephalosporin is good,
too.

Bob Mauro, MD
Greenwood Pediatrics
Littleton, CO