All infected bites should be treated with antibiotics. Detecting child abuse in general practice News in brief: Register or Log in to take part in quizzes. Amiodarone brand-change and a reminder on patient monitoring Oxycodone prescribing: Management of infections in primary care. Amoxicillin clavulanate is appropriate for facial and periorbital cellulitis because it covers a broader range of organisms than flucloxacillin.
In the past, facial cellulitis, arising from infection in the buccal mucosa, was often a result of H.
Choices for common infections"bpac nz. In this issue The use of dabigatran in general practice Appropriate use of amoxicillin clavulanate Community-based IV administration: Injuries that occur to the fist as a result of contact with teeth are essentially treated the same as for bites.
Cholestatic jaundice occurs in approximately 1 in patients.
Make a comment Comments There are currently no comments for this article. In particular, clavulanic acid has good activity against plasmid mediated beta-lactamases which are often associated with transferred drug resistance.
Prophylactic treatment with antibiotics is appropriate for human and cat bites even if they do not appear to be infected and any bites that occur to the hand, foot, face, tendon or ligament, or in immunocompromised people.
Diabetic foot infections Diabetic foot infections may involve staphylococci, streptococci or facultative anaerobes such as Bacteroides species. Amoxicillin clavulanate is appropriate for mammalian bites because it is active against the organisms most commonly isolated: In this article Why should amoxicillin clavulanate be reserved for only certain conditions? In all but very mild cases of facial cellulitis and especially perioribital cellulitis, referral to secondary care is advised.
While acute sinusitis rarely involves anaerobes, they are more likely to be the cause of chronic infections. First and second line indications for amoxicillin clavulanate.
In this article
As a result of this adverse effect, the United Kingdom Committee on Safety of Medicines CSM recommended that amoxicillin clavulanate only be used for bacterial infections that are thought to be caused by amoxicillin-resistant strains and treatment length should be suitable for the indication and not usually exceed 14 days.
These infections require this broad spectrum antibiotic to cover the large range of potential causative organisms. Antibiotic resistance and stewardship Infections Medicine indications.
Hepatitis and cholestatic jaundice have been reported with the use of amoxicillin clavulanate.
Early infection is usually due to S. The complete drug reference London: This item is 6 years and 2 months old; some content may no longer be current. Second-line indications There are a few indications where amoxicillin clavulanate is a suitable second-line alternative to cover persistent infection, when anaerobes are suspected e. Can Med Assoc J ; 7: Facial and periorbital cellulitis Amoxicillin clavulanate is appropriate for facial and periorbital cellulitis because it covers a broader range of organisms than flucloxacillin.