Digit Amputation, Traumatic

Duration

Max. 3 doses (24 hours)

Notes
  • Consider the necessity for surgical intervention, tetanus prophylaxis and topical cleaning
1st line – IV & oral options

IV Co-amoxiclav 1.2g (or 625mg oral) 8 hourly for up to 24 hours (max. 3 doses)

Penicillin Allergy – IV options

IV Cefuroxime 1.5g then 750mg 8 hourly

+ IV Metronidazole 500mg 8 hourly 

OR

IV Clindamycin 600mg 8 hourly 

+ IV Gentamicin 1.5mg/kg stat

Penicillin Allergy – oral options

Oral Doxycycline 100mg 12 hourly

+ oral Metronidazole 400mg 8 hourly

OR

Oral Co-trimoxazole 960mg 12 hourly

+ oral Metronidazole 400mg 8 hourly