Citation

Alexandre K, José HD, Paul V, François S, Philippe L, Sybille F. Orthop. Traumatol. Surg. Res. 2016; 103(2): 203-207.

Affiliation

Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10 avenue Baumann, 67400 Illkirch.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.otsr.2016.12.003

PMID

28027982

Abstract

HYPOTHESIS: The care of bite injuries has not currently reached a consensus, including in our department. The goal of this study was to evaluate our current care of bite injuries by an assessment of professional practices (APP), then formulate and validate a flowchart to standardize our practices. MATERIAL AND METHODS: During a first round of file reviewing, 30 files were randomly selected and then evaluated using a 15 item auditing form (group 1). A flowchart was then designed to standardize the care of hand bite injuries and released in our department. Six months later, 30 new files were randomly selected and evaluated using the same auditing form (group 2).

RESULTS: When comparing the results of the 15 items before and after the release of the flowchart, 7 items reached 100% in group 2. The wounds were described more precisely, signs of severity were systematically researched and the antibiotic treatment was standardized. Two items decreased but did not reach 0%: systematic prescription of bacteriologic swabs and x-rays. Using these results the flowchart was improved.

DISCUSSION-CONCLUSION: Our results showed an improvement of the care of hand bites for 11 items, including 5 that were statistically significant. This flowchart enabled to standardize our practices and could be used in other emergency departments.

Copyright © 2016. Published by Elsevier Masson SAS.

Language: en