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The microbiology of crocodile attacks in Far North Queensland: implications for empirical antimicrobial therapy

Simon Smith, Richard J Bagshaw and Josh Hanson
Med J Aust 2017; 206 (7): 307-308.
doi:
10.5694/mja16.01058

Wound infections are common after crocodile attacks and, therefore, prophylactic antimicrobial therapy is advised. However, there are limited data to guide recommendations for the optimal empirical regimen.

Simon Smith1,2
Richard J Bagshaw1
Josh Hanson1,3
1 Cairns Hospital, Cairns, QLD
2 College of Medicine and Dentistry, James Cook University, Cairns, QLD
3 Menzies School of Health Research, Darwin, NT
Article References: 
Reference Text: 
Mekisic AP, Wardill JR. Crocodile attacks in the Northern Territory of Australia. Med J Aust 1992; 157: 751-754.
Reference Order: 
1
Reference Text: 
Therapeutic Guidelines. Bite wounds and clenched fist injuries. Melbourne: eTG complete, 2014. https://tgldcdp.tg.org.au/etgcomplete (accessed July 2016).
Reference Order: 
2
Reference Text: 
Anderson JR. Characterisation of the oral and cloacal flora of wild and farmed crocodiles (Crocodylus porosus and C. johnstoni) in northern Australia [Honour’s thesis]. Townsville: James Cook University; 1999.
Reference Order: 
3
Reference Text: 
Caldicott DG, Croser D, Manolis C, et al. Crocodile attack in Australia: an analysis of its incidence and review of the pathology and management of crocodilian attacks in general. Wilderness Environ Med 2005; 16: 143-159.
Reference Order: 
4
Reference Text: 
Wamisho BL, Bates J, Tompkins M, et al. Ward round — crocodile bites in Malawi: microbiology and surgical management. Malawi Med J 2009; 21: 29-31.
Reference Order: 
5

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