Bite Wounds

First Line

Co-amoxiclav 625 mg PO 8 hourly

 

If moderate/severe cellulitis associated or overlying a joint:

Co-amoxiclav 1.2g IV 8 hourly

Penicillin Allergy

Doxycycline 200mg PO STAT, then 100mg daily AND Metronidazole 400mg PO 8 hourly

 

If moderate/severe cellulitis associated or overlying a joint:

Levofloxacin 500mg PO 12 hourly (consider safety issues) AND Metronidazole 500mg IV 8 hourly

Notes

Consider tetanus immunoglobulin (with absorbed tetanus vaccine if necessary, according to immunisation history)