Prophylactic antibiotics are not routinely indicated in immunocompetent patients. Prescribe prophylaxis only if patient has risk factors for developing deep infection.
Patient Risk Factors: advanced age, diabetes, immunocompromised
Wound Risk Factors: penetrates muscle, injury through shoe, grossly contaminated, retained foreign body
Prophylaxis: 3 - 5 days
Mild-moderate infection: 5 - 7 days Consider 7-10 days if follow-up not available and multiple risk factors for developing deeper infection
OR
OR
Does not share any side chains with penicillins, okay to use in PCN allergy
OR