Child Health  |  Wound Care

Child Health

Wound Care

Traumatic and surgical wounds including burns, animal and insect bites often lead to skin infections.

They should be treated in the same way as impetigo except for animal bites.

Management of animal bites

  • Use co-amoxyclav (Augmentin) as empirical therapy for both cat and dog bites. It has good activity against staphs, streps, pasteurella and the vast majority of anaerobes.

  • If unsuccessful consider clindamycin (good activity v staphs streps and anaerobes, good oral bioavailability and good tissue penetration) along with ciprofloxacin(good activity v pasteurella and good oral bioavailability).

  • Cat-scratch disease does not need empirical treatment as uncommon and generally self-limiting.

  • If the patient presents with regional lymphadenopathy following a cat scratch/bite then may consider 5 days of azithromycin if lymphadenopathy is severe or prolonged.

Infected wounds are treated under ACC and so should have a claim established at presentation.

Remember to check tetanus status and improve as needed.

Last updated : Thursday, May 18, 2017
Next review date : Friday, May 18,2018

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.