Consider rabies immunization and immune globulin
All bite episodes represent an opportunity to review Hepatitis B and tetanus immunization status.
The transmission of blood borne pathogens (Hepatitis B, C and HIV) following a bite wound in children is extremely unlikely.
Post exposure prophylaxis for Hepatitis B is recommended if the exposure to blood or body fluids was from an index case known to be Hepatitis B antigen positive and the patient has not been previously immunized against Hepatitis B.
If there is a particularly high risk situation regarding HIV transmission, a pediatric infectious diseases expert may be consulted.
P. multocida (cat and dog bites)
Piperacillin - Tazobactam IV
Amoxicillin - Clavulanic acid PO TID
3 to 5 days for prophylaxis
7 to 10 days for treatment
More severe cases or bite wounds associated with bacteremia may warrant longer durations. Consult Infectious Disease.