Bites

Bites

CKS

Thorough irrigation is important. Assess risk of tetanus, rabies, HIV, hepatitis B/C.

Cat/Human bite: Give prophylaxis

Dog: Give prophylaxis if 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 

For 7 days (Review at 24 & 48hrs)

 

If penicillin allergic:

Metronidazole PLUS

400mg TDS

For 7 days (Review at 24 & 48hrs)

Doxycycline

100mg BD

For 7 days (Review at 24 & 48hrs)