Dog bites/ Human bites

Prepare the skin with aqueous Betadine or Trisept (make sure patient has no allergies).

Infiltrate area with local anaesthetic—be careful of using adrenaline in ischaemic looking tissues.

Clean, debride and irrigate with H202 / saline 50:50 and wash thoroughly with saline.

If deep sutures needed use 3/0 SGS or 3/0, 4/0 Vicryl undyed.

Use 5/0, 6/0 Prolene or Ethalon on the skin.

Prescribe 375mg Augmentin TDS 5/7 and 400mg Metronidazole TDS 5/7 and Polyfax ointment.

Advise to return immediately if would breakdown starts to occur.

Review on clinic 5/7 for suture removal or to GMP.

Make sure patient is up-to-date with Tetanus.