Bite Wounds

First Line

Co-amoxiclav 625 mg tds PO

If severe cellulitis or involving a joint

Co-amoxiclav 1.2g IV 8hrly

Penicillin Allergy

Doxycycline  200mg stat, then 100mg od +Metronidazole 400mg tds PO

 If severe cellulitis or  involving a joint

Vancomycin IV as per protocol AND Ciprofloxacin 500mg bd PO AND Metronidzole 500mg IV 8hrly

Notes

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