Human Bites

CKS

 

Thorough irrigation is important. 

Assess risk of tetanus, rabies, blood borne viruses e.g., HIV, hepatitis B/C.

Antibiotic prophylaxis is advised for ALL human bites.

If ≥ 12 years old:

Doxycycline

100mg twice daily

For 7 days

PLUS For severe bites add:

Metronidazole

400mg three times daily

For 7 days

OR Clarithromycin

500mg twice daily 

For 7 days

PLUS For severe bites add:

Metronidazole

400mg three times daily 

For 7 days

OR Only for children < 12 years where doxycycline is not suitable:

Co-amoxiclav

 

NB: Metronidazole not required in addition

For 7 days