MSRA: Bite Injurities

Question 1

What is the antibiotic of choice in bite injuries?

Answer 1

Co-amoxiclav

Question 2

What is the prophylaxis of rabies?

Answer 2

If bitten outside UK
- 2 further doses of vaccine if already vaccinated
If not vaccinated - Immunoglobulins alongside full course of vaccination

Question 3

What tetanus prophylaxis is needed in a patient fully vaccinated, with last dose <10 years ago?

Answer 3

No additional measures regardless of wound severity

Question 4

What tetanus prophylaxis is needed in a patient fully vaccinated, with last dose >10 years ago?

Answer 4

If tetanus prone wound -> reinforcing dose of vaccine
If high risk wound -> reinforcing dose of vaccine + Immunoglobulin

Question 5

What tetanus prophylaxis is needed if patient not fully vaccinated or vaccine status unknown?

Answer 5

Reinforcing dose of vaccine for all wound severities
If prone or high risk wound -> Immunoglobulin in addition