Bites

CKS

DO NOT SUTURE BITE WOUNDS
Antibiotic prophylaxis is advised if aged over 50 years, cat bite/puncture wound, bite to hand, foot, face, joint, tendon, ligament; immunocompromised / diabetic / asplenic / cirrhotic / presence of prosthetic valve or prosthetic joint.
Assess rabies risk (animal bite); assess risk of blood borne virus transmission (human or primate bite).
Consider hepatitis B vaccination.

Prophylaxis or treatment

Co-amoxiclav 625mg three times daily

7 days

If penicillin allergy

 

Metronidazole 400mg three times daily

7 days

PLUS Doxycycline 100mg twice daily

7 days

Editorial Information

Last reviewed: 23 May 2019

Next review: 30 May 2022

Author(s): Antimicrobial Management Team

Approved By: TAM Subgroup of ADTC

Reviewer Name(s): Area Antimicrobial Pharmacist

Document Id: AMT162