Bites

Bites

CKS

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

Prophylaxis or treatment:

co-amoxiclav

 

375-625mg TDS 

 

 

All:

for 7 days

If penicillin allergic:

metronidazole PLUS

 

400mg TDS

 

doxycycline (cat/dog/man)

 

100mg BD

 

or metronidazole PLUS

 

200-400mg TDS

clarithromycin (human bite)

AND review at 24 & 48hrs

250-500mg BD