TY  - JOUR
PY  - 2016//
TI  - Development of a clinical path for the emergency care of hand bite injuries without signs of infection
JO  - Orthopaedics and traumatology: surgery and research
A1  - Alexandre, Koutsomanis
A1  - José, Hidalgo Diaz Juan
A1  - Paul, Vernet
A1  - François, Séverac
A1  - Philippe, Liverneaux
A1  - Sybille, Facca
SP  - 203
EP  - 207
VL  - 103
IS  - 2
N2  - 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). <br><br>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. <br><br>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.<br><br>Copyright © 2016. Published by Elsevier Masson SAS.<p />  <p>Language: en</p>
LA  - en
SN  - 1877-0568
UR  - http://dx.doi.org/10.1016/j.otsr.2016.12.003
ID  - ref1
ER  -