Animal Bite

NoteDoses are oral and for adults unless otherwise stated. Visit the Health Products Regulatory Board website or the printed Irish Medicines Formulary for drug SPCs, dosage, contraindications, interactions, or IMF/BNF/BNFC/MIMS. See guidance on dosing in children for quick reference dosage/weight guide.

Letters indicate strength of evidence range from A+ (systematic review) to D (informal opinion). Statins can interact with some antibiotics and increase the risk of rhabdomyolysis. Amiodarone and drugs which prolong the QT interval can interact with many antibiotics. Many antibiotics increase the risk of bleeding with anticoagulants. Please refer to our Drug Interactions Table for further information.

Comments

  • Surgical toilet most important.
  • Assess tetanus and rabies risk.
Antibiotic prophylaxis advised for:
  • puncture wound involving hand, foot, face, joint, tendon, ligament
  • immunocompromised
  • diabetic patients
  • elderly patients
  • asplenic patients

Treatment

See guidance on dosing in children for quick reference dosage/weight guide.

Treatment Dose TX Duration
co-amoxiclavB- 625 mg TDS 7 days
If penicillin allergic metronidazole
PLUS doxycycline
200-400 mg TDS
100 mg BD
7 days

We recommend patients use the website developed by HSE/ICGP/IPU partnership www.undertheweather.ie for tips on how to get better from common infections without using antibiotics, what you can do for yourself or a loved one and when to seek help.

The HSE Health A-Z website provides patient information on many hundreds of conditions and treatments.

Click here to view information on Animal Bites

Reviewed June 2016