Warning

Micro Organisms

Human - oral flora 

Animal – Pasteurella multocida

Duration

Prophylaxis 3 days

Refer to NICE guidance for advice on when antibiotic prophylaxis is indicated.

Treatment 5 days

Notes

Important: Therapy

  • Assess the type and severity of the bite, including:
    • what caused the bite
    • the site and depth of the wound
    • whether it is infected.
  • Assess the risk of tetanus, rabies or a bloodborne viral infection and take appropriate action.
  • Manage the wound with irrigation and debridement as necessary.
  • Seek specialist advice from a microbiologist for bites from a wild or exotic animal (including birds and non-traditional pets).
  • Consider seeking specialist advice from a microbiologist for domestic animal bites (including farm animal bites) you are unfamiliar with.
  • Send blood and swabs for culture, where appropriate.
  • Refer to NICE guidance for advice on when antibiotic prophylaxis is indicated.

Notes:

Human or Animal Bites - First line

Important: Therapy

 Oral Co-amoxiclav 625mg 8 hourly

Notes:

Human or Animal Bites - Penicillin Allergy

Important: Therapy

Oral Doxycycline 100mg 12 hourly

+

Oral Metronidazole 400mg 8 hourly

Notes:

Editorial Information

Last reviewed: 31/10/2024

Next review date: 31/10/2027

Author(s): Specialist Antimicrobial Pharmacists.

Version: 1

Author email(s): gram.antibioticpharmacists@nhs.scot.

Approved By: Antimicrobial Management Team

Document Id: AMT_Emp_Hosp_Bites_1