PAMS: Dermatology: Bites and skin infections

Question 2

When should antibiotic prophylaxis needs to be done in bites ?

Answer 2

All human bites less than 3 days old, all cat bites less than 2 days old and other animal bites less than 2 days old to the hand, foot, face or genitals; puncture or crush wounds; wounds that require surgical debridement or involving joints, tendons, ligaments or fractures.
Wounds that have undergone primary closure.
People at risk of serious wound infection (e.g. those who are immunocompromised, diabetic, asplenic, cirrhotic).
People with a prosthetic valve or prosthetic joint.

Question 3

what are the antibiotic prophylaxis for bites ?

Answer 3

Augmentin: 5 days for prophylaxis and 7 days for Tx.

Metronidazole + doxycyclin: 5 days for prophylaxis and 7 days for Tx.

Question 4

What is the first line Tx for Norwegian scabies ?

Answer 4

Permethrin 5% Cream