Canterbury DHB

Context

Infected Bite Wounds (Animal and Human)

Pathogens

Drug Treatment

Empiric

Mild infection

amoxicillin+clavulanic acid

HMLSchedNZFPMLnoids

PO 500 mg/125 mg three times a day

Penicillin allergy

metronidazole

HMLSchedNZFPMLnoids

PO 600 mg twice a day

AND EITHER

trimethoprim+sulfamethoxazole

HMLSchedNZFPMLnoids

(co-trimoxazole)

PO 160 mg/800 mg twice a day

OR

doxycycline

HMLSchedNZFPML

200 mg on day 1

then 100 mg once a day

Severe infection

amoxicillin+clavulanic acid

HMLSchedNZFPMLnoids

IV 1 g/200 mg every eight hours

Mild penicillin allergy

metronidazole

HMLSchedNZFPMLnoids

PO 600 mg twice a day, or

IV 500 mg every twelve hours

AND

cefuroxime

HMLSchedNZFPMLnoids

IV 1.5 g every eight hours

Severe penicillin allergy

Consult Infectious Diseases/Clinical Microbiology

Information about this Canterbury DHB document (99259):

Document Owner:

Not assigned (see Who's Who)

Last Updated:

March 2018 (Skin and Soft Tissue)

Next Review Due:

March 2021

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document.

Topic Code: 99259