Copious irrigation
Tdap (if >10 years since last booster)
Wound left open to heal by secondary intention
May require loose approximation if gaping
May require loose approximation if gaping
Prophylactic antibiotics should be initiated for all but the most superficial wounds
Requires polymicrobial coverage for: S. aureus, Strep Viridans, Bacteroides, Coagulase-neg Staph, Eikenella, Fusobacterium, Cornebacterium, peptostreptococus
Amoxicilin-clavulanate 875mg PO BID x 5-7days OR
Clindamycin 450mg (5mg/kg) PO q8hrs daily x7 days PLUS
Ciprofloxacin 500mg PO q12hrs x 7 days OR
TMP/SMX 2DS tabs (5mg/kg) PO q12hrs
Ciprofloxacin 500mg PO q12hrs x 7 days OR
TMP/SMX 2DS tabs (5mg/kg) PO q12hrs
Closed fist infection
Hand and finger fractures
Exotic pet infections
Bed bugs
Hand deep space infection
Closed fist infection 
Mammalian bites
Digital Mixoid Cyst 