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Ampicillin-sulbactam and surgical debridement
12%
1/8
Ampicillin-sulbactam, surgical debridgment, and laceration closure
25%
2/8
Amoxicillin-clavulanate
Amoxicillin-clavulanate and laceration closure
38%
3/8
Laceration closure
Select Answer to see Preferred Response
This patient is presenting after a cat bite which requires irrigation, amoxicillin-clavulanate, and no closure given the risk of infection. Cat bites are bacteriologically dirty (Pasteurella multocida, Streptococcus pyogenes, and Staphylococcus aureus are common agents) and often are deep puncture wounds that can become infected. Any patient presenting with a cat bite should have the wound irrigated, be given a Tdap vaccine, and receive amoxicillin-clavulanate as prophylaxis. The wound should be left open to avoid the risk of infection. Incorrect Answers: Answer 1: Ampicillin-sulbactam and surgical debridement is not needed for a cat bite. Surgical debridement is reserved for more severe infections such as necrotizing fasciitis and flexor tenosynovitis. Answer 2: Ampicillin-sulbactam, surgical debridement, and laceration closure is incorrect as laceration closure should be avoided since this could lead to infection and debridement is not indicated. Answer 4: Amoxicillin-clavulanate and laceration closure is incorrect since laceration closure could increase the risk of infection. Answer 5: Laceration closure is inappropriate since antibiotics are needed and closure of the laceration could lead to worsening infection in cat bites. Bullet Summary: The treatment of cat bites is irrigation and amoxicillin-clavulanate.
4.5
(8)
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