Anticoagulant agents should be stopped 7 to 10 days before surgery if there is no contraindication (SOR: A). Warfarin should be stopped based on risk profiles (SOR: A). (Singer et al., 2008b.)
spaces. Hand injuries may therefore lead to aggressive secondary infections of these structures. Profuse flushing of human hand bites or lacerations, prophylactic antibiotics, and consultation are advised. These wounds may need to be surgically opened under anesthesia to flush adequately.
Wounds to both the hands and face need immediate care because infection rates almost double to 29% if not treated within 12 hours. Prophylactic antibiotics should be used with hand and facial bite wounds. Facial wounds may be flushed and closed primarily because of the good blood supply and a risk for poor cosmesis if left open (Henry et al., 2007).
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