[x_section parallax=”true” bg_image=”https://reconstructivesurgerytrials.net/wp-content/uploads/2019/12/Ellsworth_dog_bite.jpg” bg_color=”” style=”margin: 0px 0px 0px 0px; padding: 45px 0px 45px 0px; “][x_row inner_container=”true” marginless_columns=”false” bg_color=”” style=”margin: 0px auto 0px auto; padding: 0px 0px 0px 0px; “][x_column bg_color=”” type=”1/1″ style=”padding: 0px 0px 0px 0px; “][x_gap size=”150px”][/x_column][/x_row][/x_section][x_section style=”margin: 0px 0px 0px 0px; padding: 0px 0px 0px 0px; “][x_row inner_container=”true” marginless_columns=”false” bg_color=”” style=”margin: 0px auto 0px auto; padding: 0px 0px 0px 0px; “][x_column bg_color=”#ffffff” type=”2/3″ class=”left-text ” style=”padding: 0px 0px 0px 0px; “][x_gap size=”20px”][x_custom_headline level=”h2″ looks_like=”h3″ accent=”false”]BITE[/x_custom_headline][x_text]Bite Injury Treatment Evaluation[/x_text][x_text]Mammalian bites have been shown to account for 1% of all emergency department visits in the UK. There is clinical uncertainty regarding the optimal wound management for mammalian bites and wide variation in current management.
Debate has surrounded initial irrigation or cleansing of wound, prophylactic antibiotics, debridement, as well as whether treatment in A&E is sufficient or whether specialist surgical referral is required with surgical intervention.
A systematic review already performed for non-hand mammalian bites identified two observational studies and showed that there was no clear evidence to define best practice. They gave conflicting evidence for debridement but suggested that irrigation reduced risk of infection.
BITE is aiming to evaluate the current provision and normal practice for management of mammalian bite wounds between A&E and plastic surgery. Initially, we are carrying out a smaller 7 day pilot study, before aiming to recruit further centres to carry out a 1 month data collection period.[/x_text][x_text class=”justify-text “]
Summary
The aim will be to liaise with our A&E colleagues to collect 1 month data prospectively of patients referred to plastic surgery, then retrospectively collect data for the same month of patients who have been seen in A&E with both hand and non-hand mammalian bites (including human bites).[/x_text][x_gap size=”50px”][x_text class=”justify-text “]
How can I get involved?
We hope this service evaluation will help support our application for funding for a RCT to try and ascertain the optimal management for mammalian bites.
We currently have collaborating centres in Oxford, Stoke Mandeville, Wexham Park, Charing Cross, St. Mary’s, St George’s and Chelmsford.
Want to be involved at your plastic surgery centre? Email us at bite.trial@gmail.com to register your interest.[/x_text][/x_column][x_column bg_color=”” type=”1/3″ style=”padding: 0px 0px 0px 0px; “][x_gap size=”20px”][x_image type=”none” src=”https://reconstructivesurgerytrials.net/wp-content/uploads/2019/12/Bite_07.jpeg” alt=”” link=”false” href=”#” title=”” target=”” info=”none” info_place=”top” info_trigger=”hover” info_content=””][x_accordion][x_accordion_item title=”Status” open=”true”][icon_list] [icon_list_item type=”square”]Systematic review[/icon_list_item] [icon_list_item type=”square-o”]National Service Evaluation Pilot (January)[/icon_list_item][icon_list_item type=”square-o”]Recruiting Centres [/icon_list_item][icon_list_item type=”square-o”]National Service Evaluation Data Collection (March)[/icon_list_item][icon_list_item type=”square-o”]Data Analysis[/icon_list_item]
[icon_list_item type=”square-o”]Manuscript Submission[/icon_list_item]
[icon_list_item type=”square-o”] Publication[/icon_list_item] [/icon_list] [/x_accordion_item][x_accordion_item title=”Team” open=”false”]Dr. Abigail Shaw
Core Surgical Trainee, Oxford
Mr. Jonathan Dunne
Specialty Registrar in Plastic Surgery, London
Mr. Justin Wormald
Specialty Registrar in Plastic Surgery, Oxford
NIHR Academic Clinical Fellow, Oxford
Mr. James Colville
Consultant in Plastic Surgery, St George’s Hospital, London
Mr. Adam Sierakowski
Consultant in Plastic Surgery, St Andrew’s Hospital, Chelmsford
Prof. Abhilash Jain
Associate Professor in Plastic Surgery
NDORMS, University of Oxford
Mr. Matt Gardiner
RCS Surgical Specialty Lead for Hand and Plastic Surgery
Consultant in Plastic Surgery, Wexham Park Hospital, Slough[/x_accordion_item][x_accordion_item title=”Collaborators” open=”false”]Collaborators will be listed here in due course.[/x_accordion_item][x_accordion_item title=”Funding” open=”false”][/x_accordion_item][x_accordion_item title=”Downloads” open=”false”][/x_accordion_item][x_accordion_item title=”Contact” open=”true”]Bite.trial@gmail.com[/x_accordion_item][/x_accordion][/x_column][/x_row][/x_section]