Template:Animal bite antibiotics: Difference between revisions
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====Cat and Dog Bites==== | <translate> | ||
''Coverage for Pasteurella, Strep, and Staph'' | |||
====Cat and Dog Bites==== <!--T:1--> | |||
<!--T:2--> | |||
''Coverage for [[Special:MyLanguage/Pasteurella|Pasteurella]], [[Special:MyLanguage/Strep|Strep]], and [[Special:MyLanguage/Staph|Staph]]'' | |||
*'''Consider for high-risk wounds''' | *'''Consider for high-risk wounds''' | ||
**wounds reaching the level of the muscle/tendon, wounds to the hand, violation of bone or joint capsule, immunocompromised hosts, wounds associated with significant local edema | **wounds reaching the level of the muscle/tendon, wounds to the hand<ref>[[EBQ:Antibiotic prophylaxis for mammalian bites|EBQ:Antibiotic prophylaxis for mammalian bites]]</ref>, violation of bone or joint capsule, immunocompromised hosts, wounds associated with significant local edema | ||
*[[Amoxicillin/Clavulanate|Amoxicilin-clavulanate]] 875mg PO BID x 5-7 days OR<ref>Griego RD, Rosen T, Orengo IF, Wolf JE. Dog, cat, and human bites: a review. J Am Acad Dermatol. 1995;33:1019–29.</ref> | *[[Special:MyLanguage/Amoxicillin/Clavulanate|Amoxicilin-clavulanate]] 875mg PO BID x 5-7 days OR<ref>Griego RD, Rosen T, Orengo IF, Wolf JE. Dog, cat, and human bites: a review. J Am Acad Dermatol. 1995;33:1019–29.</ref> | ||
*[[Doxycycline]] 100mg PO | *[[Special:MyLanguage/Doxycycline|Doxycycline]] 100mg PO BID x 14 days if penicillin allergic <ref>Talan DA, Citron DM, Abrahamian FM, Moran GJ, Goldstein EJ. Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group. N Engl J Med. 1999;340:85–92.</ref> | ||
*[[Clindamycin]] 450mg (5mg/kg) PO q8hrs daily x7 days PLUS | *[[Special:MyLanguage/Clindamycin|Clindamycin]] 450mg (5mg/kg) PO q8hrs daily x7 days PLUS | ||
**Ciprofloxacin 500mg PO q12hrs x 7 days OR | **[[Special:MyLanguage/Ciprofloxacin|Ciprofloxacin]] 500mg PO q12hrs x 7 days OR | ||
**TMP/SMX 2DS tabs (5mg/kg) PO q12hrs | **[[Special:MyLanguage/TMP/SMX|TMP/SMX]] 2DS tabs (5mg/kg) PO q12hrs | ||
====Human Bites==== <!--T:3--> | |||
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All human bites should be strongly considered for antibiotic therapy. | All human bites should be strongly considered for antibiotic therapy.<ref>[[EBQ:Antibiotic prophylaxis for mammalian bites|EBQ:Antibiotic prophylaxis for mammalian bites]]</ref> | ||
</translate> | |||
{{Human bite antibiotics}} | {{Human bite antibiotics}} | ||
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====Mammalian Bites Severe Infections==== <!--T:5--> | |||
<!--T:6--> | |||
*[[Ampicillin/Sulbactam]] 3g IV (50mg/kg IV) q 6hrs daily OR | *[[Special:MyLanguage/Ampicillin/Sulbactam|Ampicillin/Sulbactam]] 3g IV (50mg/kg IV) q 6hrs daily OR | ||
*[[Cefoxitin]] 1g IV q8hrs (25mg/kg q6hrs) OR | *[[Special:MyLanguage/Cefoxitin|Cefoxitin]] 1g IV q8hrs (25mg/kg q6hrs) OR | ||
*[[Pipericillin/Tazobactam]] 4.5g IV (80mg/kg IV) q8hrs OR | *[[Special:MyLanguage/Pipericillin/Tazobactam|Pipericillin/Tazobactam]] 4.5g IV (80mg/kg IV) q8hrs OR | ||
*[[Ceftriaxone]] 1g (50mg/kg IV) once + [[Metronidazole]] 500mg IV q8hrs OR | *[[Special:MyLanguage/Ceftriaxone|Ceftriaxone]] 1g (50mg/kg IV) once + [[Special:MyLanguage/Metronidazole|Metronidazole]] 500mg IV q8hrs OR | ||
*[[Clindamycin]] 600mg IV q8hrs PLUS | *[[Special:MyLanguage/Clindamycin|Clindamycin]] 600mg IV q8hrs PLUS | ||
**[[TMP/SMX]] 5mg/kg IV q12hrs OR | **[[Special:MyLanguage/TMP/SMX|TMP/SMX]] 5mg/kg IV q12hrs OR | ||
**[[Ciprofloxacin]] 400mg IV q12hrs OR | **[[Special:MyLanguage/Ciprofloxacin|Ciprofloxacin]] 400mg IV q12hrs OR | ||
</translate> | |||
Latest revision as of 08:44, 20 January 2026
Cat and Dog Bites
Coverage for Pasteurella, Strep, and Staph
- Consider for high-risk wounds
- wounds reaching the level of the muscle/tendon, wounds to the hand[1], violation of bone or joint capsule, immunocompromised hosts, wounds associated with significant local edema
- Amoxicilin-clavulanate 875mg PO BID x 5-7 days OR[2]
- Doxycycline 100mg PO BID x 14 days if penicillin allergic [3]
- Clindamycin 450mg (5mg/kg) PO q8hrs daily x7 days PLUS
- Ciprofloxacin 500mg PO q12hrs x 7 days OR
- TMP/SMX 2DS tabs (5mg/kg) PO q12hrs
Human Bites
All human bites should be strongly considered for antibiotic therapy.[4]
Requires polymicrobial coverage for: S. aureus, Strep Viridans, Bacteroides, Coagulase-neg Staph, Eikenella, Fusobacterium, Cornebacterium, peptostreptococus
- Amoxicilin-clavulanate 875mg PO BID x 5-7days OR
- Clindamycin 450mg (5mg/kg) PO q8hrs daily x7 days PLUS
- Ciprofloxacin 500mg PO q12hrs x 7 days OR
- TMP/SMX 2DS tabs (5mg/kg) PO q12hrs
Mammalian Bites Severe Infections
- Ampicillin/Sulbactam 3g IV (50mg/kg IV) q 6hrs daily OR
- Cefoxitin 1g IV q8hrs (25mg/kg q6hrs) OR
- Pipericillin/Tazobactam 4.5g IV (80mg/kg IV) q8hrs OR
- Ceftriaxone 1g (50mg/kg IV) once + Metronidazole 500mg IV q8hrs OR
- Clindamycin 600mg IV q8hrs PLUS
- TMP/SMX 5mg/kg IV q12hrs OR
- Ciprofloxacin 400mg IV q12hrs OR
- ↑ EBQ:Antibiotic prophylaxis for mammalian bites
- ↑ Griego RD, Rosen T, Orengo IF, Wolf JE. Dog, cat, and human bites: a review. J Am Acad Dermatol. 1995;33:1019–29.
- ↑ Talan DA, Citron DM, Abrahamian FM, Moran GJ, Goldstein EJ. Bacteriologic analysis of infected dog and cat bites. Emergency Medicine Animal Bite Infection Study Group. N Engl J Med. 1999;340:85–92.
- ↑ EBQ:Antibiotic prophylaxis for mammalian bites