Warning

CKS

DO NOT SUTURE BITE WOUNDS

Antibiotic prophylaxis is advised if: 

  • skin is broken and drawn blood
  • OR if skin is broken and age 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)
  • risk of blood borne virus transmission (human or primate bite).

Consider:

  • hepatitis B vaccination.

If clinically infected:

  • send pus or deep swab for culture before cleaning.

Drug details

Prophylaxis or treatment

Co-amoxiclav 625mg three times daily

Prophylaxis: 3 days

Treatment: 5 days

In penicillin allergy

 

Doxycycline 100mg twice daily PLUS metronidazole 400mg three times daily

Prophylaxis: 3 days

Treatment: 5 days

If doxycycline unsuitable

Co-trimoxazole 960mg twice daily PLUS metronidazole 400mg three times daily

Prophylaxis: 3 days

Treatment: 5 days

Editorial Information

Last reviewed: 27/06/2024

Next review date: 27/06/2027

Author(s): Antimicrobial Management Team.

Version: 2

Approved By: TAM Subgroup of ADTC

Reviewer name(s): Alison Macdonald, Area Antimicrobial Pharmacist.

Document Id: AMT162