Prophylaxis or treatment:
co-amoxiclav
AND review at 24 & 48hrs
625mg TDS
For 7 days
If penicillin allergic:
metronidazole
400mg TDS
For 7 days
PLUS doxycycline (cat/dog/human)
AND review at 24 & 48hrs
100mg BD
For 7 days
or metronidazole
400mg TDS
For 7 days
PLUS clarithromycin (human bite)
AND review at 24 & 48hrs
250-500mg BD
For 7 days
Human: Thorough irrigation is important.
Assess risk of tetanus, rabies, HIV, hepatitis B/C.
Antibiotic prophylaxis is advised.
Cat or Dog: Give prophylaxis if cat bite/puncture wound; bite to hand, foot, face, joint, tendon, ligament; immunocompromised/diabetic/asplenic/cirrhotic/ presence of prosthetic valve or prosthetic joint.