Paediatric

Soft Tissue Injury, contaminated

For skin and soft tissue wounds that are contaminated but not actively infected. 

  • Thorough cleaning and/or surgical debridement is indicated. 
  • Tetanus risk assessment should be performed. See also Tetanus prone wounds.

Suggested duration of antibiotic therapy:

  • Consider antibiotics for 3 days where heavy contamination has occurred, especially with soil, mud, faeces, and dirty water. 
  • Consider antibiotics for 5 days where a foreign body has been removed from a contaminated wound. 
  • When a foreign body cannot be removed, consult Micro/ID

Preferred

co-amoxiclav po (see dosing table)

Age

co-amoxiclav oral dose

1 month to 11 months

0.5mL/kg of 125mg/31mg/5mL suspension TDS

1 year to 5 years

10mLs of 125mg/31mg/5mL suspension TDS

6 years to 17 years

One 625mg tablet TDS

OR

10mLs of 250mg/62mg/5mL suspension TDS if patient cannot take tablets 

Alternative

For penicillin allergy (non-severe and severe)

azithromycin 10mg/kg (Max 500mg) po OD

If IV required: clarithromycin 7.5mg/kg (max 500mg) iv BD

Editorial Information

Last reviewed: 01 Nov 2024

Author(s): AMST.

Approved By: MMTC