Lacerations

Duration

Maximum 24 hours prophylaxis

Notes

Antibiotic only indicated if contaminated wound or patient has risk factor according to Emergency Department (A&E) guidance, and should be balanced against clinical judgement.

Consider the necessity for surgical intervention, tetanus prophylaxis and topical cleaning

First Line

IV / Oral Flucloxacillin 1g stat dose

If contaminated follow recommendations for traumatic digit amputation

Penicillin Allergy

IV / Oral Clarithromycin 500mg stat dose

If contaminated - follow recommendations for traumatic digit amputation