Spectrum: Local Antimicrobial Stewardship, for Saskatchewan Health Authority - Saskatoon Area

Bite prophylaxis

Consults

Consider Infectious Disease consultation

Consider surgical specialist consultation as appropriate - debridement may be required

Note

Human bites can potentially spread blood-borne infections such as Hepatitis B, Hepatitis C and HIV

Consider need for Hepatitis B immune globulin/vaccination and HIV post-exposure prophylaxis

Duration of Therapy

3-5 days with close follow-up

Suggested Regimen

Amoxicillin-clavulanate 875/125 mg PO BID

Penicillin Allergy

Moxifloxacin 400mg PO once daily

OR

Ciprofloxacin 500mg PO BID

AND

Metronidazole 500mg PO BID