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lüll Barking up the wrong tree? A survey of dog bite wound management Smith MR; Walker A; Brenchley JEmerg Med J 2003[May]; 20 (3): 253-5OBJECTIVES: Several trials have been published examining the role of antibiotics in dog bite wound management. A meta-analysis of these suggests that there is very little benefit to routine antibiotic prescription in these patients. All papers however incorporated rigorous wound care regimens involving large volume irrigation. METHODS: The authors undertook a telephone survey to investigate wound care and prescribing practice in bite wound management in accident and emergency and minor injury units in the Yorkshire region. RESULTS: Twenty one departments were contacted. Only 10% of departments routinely irrigate these wounds. Antibiotics are prescribed routinely in 71%. CONCLUSIONS: Management of dog bite wounds would not seem to be evidence based in most departments in this sample.|*Dogs[MESH]|Animals[MESH]|Anti-Bacterial Agents/*administration & dosage[MESH]|Bites and Stings/*drug therapy/therapy[MESH]|Drug Utilization/statistics & numerical data[MESH]|Emergency Service, Hospital[MESH]|England[MESH]|Evidence-Based Medicine[MESH]|Health Care Surveys[MESH]|Humans[MESH]|Practice Patterns, Physicians'/*statistics & numerical data[MESH]|Therapeutic Irrigation/statistics & numerical data[MESH] |