General Principles
Prophylactic antimicrobials for human or animal bites (including dogs, cats, rats, squirrels, reptiles, rodents etc.) as follows:
Wound Management:
Other Considerations:
Pasteurella spp. (cat and dog bites)
Anaerobes
S. aureus
In patients with a history of anaphylaxis to penicillin, clindamycin IV with Trimethoprim-Suphamethoxazole PO can be used for the same durations or consult ID.
In patients with a history of anaphylaxis to penicillin, clindamycin PO with Trimethoprim-Suphamethoxazole PO can be used for the same durations.
Prophylaxis: 3 days
Treatment of infection: 7 days if outpatients. Will need follow-up.
For infected wounds, therapy can be modified once cultures available. Severe or deep wounds or those associated with bacteremia may warrant longer durations. Consider consult with Infectious Disease.