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Antimicrobials
Consider surgical consultation - debridement may be required
Consider Infectious Diseases consultation
Human bites can potentially spread blood-borne infections such as viral hepatitis and HIV
Consider need for HepB immunoglobulin/vaccination and HIV post-exposure prophylaxis, which are coordinated through the Medical Officer of Health
Human bites commonly contain Eikenella spp which are intrinsically resistant to clindamycin and first generation cephalosporins
3-5 days with close follow-up
Amoxicillin/Clavulanic Acid 500mg PO TID
Clindamycin 300-600mg PO QID
AND
Ciprofloxacin 500mg PO BID
Day 3 bundle