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Pediatric Residents International Track Seminar - page 13 / 34

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2/14/2015

Hossam M.Al-Tatari, M.D.

13

Management, antibiotics prophylaxis

Tetracycline or streptomycine.

Penicillin

Streptobacillus moniliformis (rat bite fever) and Spirillum minus (Sodoku)

Rats

Trimethoprim-sulfamethoxazole PLUS  clindamycin

Amoxicillin-

clavulanate

Streptococci, S aureus, Eikenella corrodens, anaerobes

Human

Extended-spectrum cephalosporin or trimethoprim-

sulfamethoxazole PLUS  clindamycin

Amoxicillin-

clavulanate

Enteric gram-negative bacteria, anaerobes

Reptile

Extended-spectrum cephalosporin or trimethoprim-

Sulfamethoxazole PLUS clindamycin

Amoxicillin-

clavulanate

Pasteurella species, Staphylococcus aureus, streptococci, anaerobes, Capnocytophaga, Moraxella, Corynebacterium, Neisseria

Dog

cat

Oral Alternatives for Penicillin-Allergic Patients

Oral Route

Organism(s) Likely to Cause Infection

Source of Bite

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