Important: Therapy
Co-amoxiclav PO dosed as per BNF for Children
Human Bites
Duration
7 days
Important: Therapy
Clarithromycin PO dosed as per BNF for Children
Plus Metronidazole PO dosed as per BNF for Children
Notes:
Clarithromycin should not be prescribed concurrently with ciclosporin, sirolimus and tacrolimus.
Important: Notes
Prophylactic antibiotics are advised for all human bites. Assess the risk of blood borne virus transmission.
Take a pus sample or deep wound swab for culture before cleaning the wound and starting antibiotics. State clearly on the form that swab is from an infected human bite.
For infected wounds, review at 24 and 48 hours to ensure that infection is responding to treatment, particularly if the patient has been prescribed a non-penicillin based regimen. Advise the person to attend urgently for review if the infection worsens or if they feel increasingly unwell.
Primary care: Refer patients with wounds that require surgical debridement or wound closure, wounds on the hand or foot, and wounds that involve joints, tendons, or ligaments. Refer all patients with severe infection and signs of systemic illness.