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. 2017 Dec 22;49(4):301–325. doi: 10.3947/ic.2017.49.4.301

Table 6. Empirical antibiotic therapy for bite wound infection.

Classification Antibiotic Adult dose (normal kidney function)
Drug of choice Amoxicillin/clavulanate 875/125 mg bid PO
Ampicillin/sulbactam 1.5–3.0 g q6–8 h IV
Piperacillin/tazobactam 3.375–4.5 g q6–8 h IV
Ceftriaxone or 2 g q24 h IV
cefotaxime 1–2 g q6–8 h IV
plus
metronidazole or 500 mg q8 h IV or 250–500 mg tid PO
clindamycin 600 mg q6–8 h IV or 300 mg tid PO
Alternatives Cefoxitin 1 g q6–8 h IV
Ertapenem 1 g q24 h IV
Moxifloxacin 400 mg q24 h IV or PO
Doxycycline 100 mg bid PO
Ciprofloxacin or 400 mg q12 h IV or 500–750 mg bid PO
levofloxacin or 750 mg q24 h IV or PO
trimethoprim-sulfamethoxazole or TMP 5–10 mg/kg/day IV or 160–800 mg bid
cefuroxime 1 g q12 h IV or 500 mg bid PO
plus
metronidazole or 500 mg q8 h IV or 250–500 mg tid PO
clindamycin 600 mg q6–8 h IV or 300 mg tid PO

PO, per os; IV, intravenous.