Spectrum: Local Antimicrobial Stewardship, for Billings Clinic

Human Bite Wounds

Preferred Empiric Treatment

Amoxicillin-Clavulanate

OR

Ampicillin-Sulbactam

Alternate Empiric Treatment

Piperacillin-Tazobactam

OR

Clindamycin

PLUS

Ciprofloxacin

OR

Clindamycin

PLUS

TMP/SMX

Common Organisms

Viridans Streptococci

Staphylococci

Eikenella species

Peptostreptococci