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Hundebisse sind die h\u00e4ufigsten Bissverletzungen und heilen, verglichen mit Menschen- und Katzenbissen, weniger komplikativ. Die Bisslokalisation h\u00e4ngt stark vom Alter und von der Gr\u00f6\u00dfe des Bissopfers sowie der Art des Bissverursachers ab. Bei jedem Biss ist der Erregernachweis anzustreben, um auf eine Exazerbation kalkuliert reagieren zu k\u00f6nnen. Die prim\u00e4re Antibiotikatherapie sollte empirisch mit Amoxicillin\u202f+\u2009Clavulans\u00e4ure oder Ampicillin\u202f+\u2009Sulbactam erfolgen und ggf. im Verlauf antibiogrammgem\u00e4\u00df angepasst werden. Die chirurgische Sanierung beinhaltet je nach Befund das Ausschneiden des Bisskanals und das differenzierte Wund-D\u00e9bridement. Wichtig sind die \u00dcberpr\u00fcfung des Impfstatus der Beteiligten und, wenn indiziert, die Postexpositionsprophylaxe f\u00fcr Tetanus und Tollwut.<\/jats:p>","DOI":"10.1007\/s00113-024-01441-1","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T08:01:52Z","timestamp":1718611312000},"page":"531-542","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Unfallchirurgisch Relevantes zu Bissverletzungen von Mensch und Tier","Trauma surgical relevance of bite injuries by animals and humans"],"prefix":"10.1007","volume":"127","author":[{"given":"Katharina","family":"Estel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catharina","family":"Scheuermann-Poley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ole","family":"Goertz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Urban","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Landscheidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Werner","family":"Wenzel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Willy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"1441_CR1","volume-title":"Animal Bites","author":"K Maniscalco","year":"2023","unstructured":"Maniscalco\u00a0K, Edens\u00a0MA (2023) Animal Bites. 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SPRIND, PHAGE2030. \u2013\u00a0Vortragshonorare oder Kostenerstattung als passiv Teilnehmende: 3M: Thema ciNPT.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Klinischer Direktor Klinik Unfallchirurgie Bundeswehrkrankenhaus Berlin.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Autoren"}},{"value":"Die vollst\u00e4ndige Erkl\u00e4rung zum Interessenkonflikt der Wissenschaftlichen Leitung finden Sie am Kurs der zertifizierten Fortbildung auf .","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Wissenschaftliche Leitung"}},{"value":"erkl\u00e4rt, dass f\u00fcr die Publikation dieser CME-Fortbildung keine Sponsorengelder an den Verlag flie\u00dfen.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}