Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Co-amoxiclav PO for 5 days
Notes:
If MRSA - ADD vancomycin IV
Animal Bites and Human Bites
Micro Organisms
Pastuerella multocida - animal
Staph.aureus, Strep.pyogenes, oral anaerobes - human
Important: Therapy
Co-trimoxazole PO + Metronidazole PO for 5-7 days
If IV therapy required, Ceftriaxone IV + metronidazole IV for 5-7 days
Notes:
If MRSA - add Vancomycin IV
Important: Therapy
Co-trimoxazole PO + Metronidazole PO for 5-7 days
If IV therapy required, Vancomycin IV + gentamicin IV + metronidazole IV for 5-7 days
Notes:
If MRSA - add Vancomycin IV
Important: Notes
Consider risk of rabies if foreign travel or if bitten by bat. Discuss with microbiology.
Assess risk of tetanus, HIV, Hep B+C in human bites.
If immunocompromised or asplenic, seek senior advice.
If hand or tendon involved, consult with hand surgeon