Adult
Open Fracture Treatment
- Antibiotics to be given within 1 hour of injury.
- Treat for a maximum of 3 days OR until soft tissue closure achieved (whichever is sooner).
- Consider tetanus vaccine and immunoglobulin. See Tetanus prone wounds.
- See surgical prophylaxis in Trauma and Orthopaedics.
Preferred
co-amoxiclav 625mg po tds (or co-amoxiclav 1.2g iv tds if NBM).
Alternative
For penicillin allergy (non-severe and severe) or MRSA positive patients:
co-trimoxazole 960mg po bd (or iv if NBM).