Animal and Human Bites

Thorough irrigation is important

Human:

  • Assess risk of tetanus, HIV, hepatitis B & C and discuss with Microbiologist if appropriate.
  • Antibiotic prophylaxis is advised.

Animal:

  • Assess risk of tetanus, and also rabies from a bat bite occurring in any country including the UK or other animal bite outside of the UK. Discuss with Microbiologist if appropriate.
  • Antibiotic prophylaxis advised for cat bite/puncture wound; bite involving hand, foot, face, joint, tendon, ligament; immunocompromised, diabetics, elderly, asplenic.

 

Severity
(classification)

1st line oral/iv antibiotics

Penicillin allergy
(see explanatory notes)

A

Minor to moderate infection 

Review doses in renal impairment

CO-AMOXICLAV 625mg po tds

Duration: 7days

 

Following Human Bites consider the risk of blood borne virus infection – see GHNHSFT infection control policy

 

Animal bites

DOXYCYCLINE 100mg po bd
plus
METRONIDAZOLE 400mg po tds 

Duration: 7days

Human bites

CLARITHROMYCIN 500mg po bd
plus
METRONIDAZOLE 400mg po tds

Duration: 7days

B/C

Moderate to severe life threatening infection

Review doses in renal impairment

CO-AMOXICLAV 1.2g IV tds

 

Duration : 7days

If clinical concern consult microbiologist

Consult Microbiologist

Last reviewed: 16/5/12

 For guidance on the administration of intravenous antibiotics
click here (GHNHSFT intranet only)