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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.

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.
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Reference Text: 
Therapeutic Guidelines. Bite wounds and clenched fist injuries. Melbourne: eTG complete, 2014. https://tgldcdp.tg.org.au/etgcomplete (accessed July 2016).
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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.
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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.
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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.
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