Management of mammalian bites

### What you need to know Domestic and wild mammalian bite wounds are increasing.1234 Annually, 15 in 100 000 adults in England are hospitalised for dog bites—rising twofold from 1998 to 2018, faster than the rise in dog numbers.5 A study estimates 17 in 1000 individuals experience animal bites annually, predominantly from dogs, cats, and monkeys.3 Cat bites are highest among women and children and comprise 3% to 25% of all bite wounds, with substantial geographical variation.67 In some areas, dog bites among children increased during the covid-19 pandemic.8 Mammalian bite wounds have high risks of infection and complication910 that can be reduced with proper management. Here we offer generalist and acute care physicians a practical approach to wound management, considerations regarding infection, and public health implications, with a special focus on dogs, cats, and humans. We recommend adapting our guidance to local expertise, resources, and protocols. Seek to identify the mechanism of injury, gather information specific to the animal, and assess risk of infection. Key factors to note are: ### Animal and injury factors ### Patient factors