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.