<prompt> Answer this question truthfullyWhat is the explanation for the phrase Bites and Bites?  <response>: <reason> Click on the following categories to expand treatment regimens. Human Bites Adults Children Early not yet infected Preferred Regimen Amoxicillin-clavulanate 875125 mg orally q12h X 5 days Alternative Regimen beta-lactam allergy Moxifloxacin 400 mg orally q6h AND Clindamycin 300 mg orally q6h OR Trimethoprim-sulfamethoxazole 1 double-strength tablet orally q12h AND metronidazole 250 to 500 mg orally q6h Late infected Preferred Regimen Ampicillin sulbactam 1.5 gm IV q6h OR Cefoxitin 2 gm IV q8h OR Ticarcillin clavulanate 3.1 gm IV q6h OR Piperacillin-tazobactam 3.375 gm IV q6h or 4.5 gm q8h or 4-hr infusion of 3.375 gm q8h Alternative Regimen beta-lactam allergy Clindamycin 1.5 gm IV q6h PLUS Moxifloxacin 400 mg IV q6h Early not yet infected Preferred Regimen Amoxicillin-clavulanate 12weeks 45 mgkgday orally in 2 divided doses for 5 days Late infected Preferred Regimen Ampicillin sulbactam 100 to 300 mgkgday IV q6h OR Cefoxitin 80 to 160 mgkgday IV in 4 divided doses OR Ertapenem 3months - 12years 15 mgkg IV twice daily maximum 1 gday OR Ertapenem 13years 1 g IV once dailyDiphtheria, Tetanus, and Acellular Pertussis Vaccine: Adults 19 years and older, including pregnant women: 1 dose 0.5 mL IM once to replace a single dose of tetanus and diphtheria Td for adults who have not received a prior dose of Tdap Pediatrics 13 to 18 years, catch-up: 1 dose 0.5 mL IM to those who missed the 11- to 12-year Tdap booster dose if they have completed the recommended childhood DTPDTaP vaccination series Pediatrics 11 to 12 years: 1 dose 0.5 mL IM to those who have completed the recommended childhood DTPDTaP vaccination series and have not received a Tdap booster doseDiphtheria and Tetanus Toxoids: Adults 19 years and older: 1 dose 0.5 mL Td IM every 10 years for persons who previously received a one-time dose of Tdap Click on the following categories to expand treatment regimens. Dog Bites Adults Children Early not yet infected Preferred Regimen Amoxicillin-clavulanate 875125 mg orally q12h OR Amoxicillin-clavulanate 500125 mg orally q8h Alternative Regimen beta-lactam allergy Clindamycin 300 mg orally q6h PLUS Ciprofloxacin 500 to 750 mg orally q12h Late infected Preferred Regimen Ampicillin sulbactam 1.5 to 3 g IV q6-8h OR Piperacillin-tazobactam 3.375 gm IV q6-8h OR Ertapenem 1 gm IV q24h OR Imipenem - Cilastin 1 gm IV q6-8h OR Imipenem - Cilastin 1 gm IV q6-8h OR Meropenem 1 gm IV q8h Alternative Regimen beta-lactam allergy Cefazolin 1 gm IV q8h OR Cefuroxime 1 gm IV q24h OR Cefoxitin 1 gm IV q6-8h OR Ceftriaxone sodium 1 gm IV q12h OR Cefotaxime 2 gm IV q6h OR Ciprofloxacin 400 mg IV q12h OR Moxifloxacin 400 mg IV q24h Early not yet infected Preferred Regimen Amoxicillin-clavulanate 45 mgkgday orally in two divided doses X 3-7 days Alternative Regimen beta-lactam allergy Clindamycin 20 to 30 mgkgday orally in 4 divided doses PLUS Trimethoprim component 8 mgkgday orally in 2 divided doses Late infected Preferred Regimen Ampicillin sulbactam 100 to 300 mgkgday IV q6h OR Cefoxitin 80 to 160 mgkgday IV in 4 divided doses OR Ertapenem 3months - 12years 15 mgkg IV twice daily maximum 1 gday OR Ertapenem 13years 1 g IV once dailyUnvaccinated patients exposed to an animal suspected of having rabies: Adults: Rabies immune globulin 20 International Unitskg IM; infiltrate as much as possible of the full dose around wounds; give the remainder IM at an anatomic site distant from vaccine administration AND rabies vaccine 1 mL IM in deltoid region as soon as possible after exposure; repeat rabies vaccine dose on days 3, 7, 14, and 28 Pediatrics: Rabies immune globulin 20 International Unitskg IM; infiltrate as much as possible of the full dose around wounds; give the remainder IM at an anatomic site distant from vaccine administration AND rabies vaccine 1 mL IM in lateral thigh as soon as possible after exposure; repeat rabies vaccine dose on days 3, 7, 14, and 28Vaccinated patients exposed to animals suspected of having rabies: Adults: 1 mL rabies vaccine IM in deltoid region as soon as possible after exposure; repeat dose 3 days later Pediatrics: 1 mL rabies vaccine IM in lateral thigh as soon as possible after exposure; repeat dose 3 days later Click on the following categories to expand treatment regimens. Cat Bites Adults Children Early not yet infected Preferred Regimen Amoxicillin-clavulanate 875125 mg orally q12h OR Amoxicillin-clavulanate 500125 mg orally q8h Alternative Regimen beta-lactam allergy Doxycycline 100 mg orally q12h OR Cefuroxime 500 mg orally q12h Late infected Preferred Regimen Ampicillin sulbactam 1.5 to 3 g IV q6-8h OR Piperacillin-tazobactam 3.375 gm IV q6-8h OR Ertapenem 1 gm IV q24h OR Imipenem - Cilastin 1 gm IV q6-8h OR Imipenem - Cilastin 1 gm IV q6-8h OR Meropenem 1 gm IV q8h Alternative Regimen beta-lactam allergy Cefazolin 1 gm IV q8h OR Cefuroxime 1 gm IV q24h OR Cefoxitin 1 gm IV q6-8h OR Ceftriaxone sodium 1 gm IV q12h OR Cefotaxime 2 gm IV q6h OR Ciprofloxacin 400 mg IV q12h OR Moxifloxacin 400 mg IV q24h Cat scratch disease Preferred Regimen Azithromycin 500 mg orally on day 1, then 250 mg orally once daily X 4 days Early not yet infected Preferred Regimen Amoxicillin-clavulanate 45 mgkgday orally in two divided doses X 3-7 days Alternative Regimen Cefuroxime 10 to 15 mgkg orally q12h Cat scratch disease Preferred Regimen Azithromycin 10 mgkg orally on day 1, then 5 mgkg orally X 4 days Late infected Preferred Regimen Ampicillin sulbactam 100 to 300 mgkgday IV q6h OR Cefoxitin 80 to 160 mgkgday IV in 4 divided doses OR Ertapenem 3months - 12years 15 mgkg IV twice daily maximum 1 gday OR Ertapenem 13years 1 g IV once daily Click on the following categories to expand treatment regimens. Monkey Bites Adults Children High risk bites deep bites, symptomatic animals Preferred Regimen without CNS symptoms Acyclovir 12.515 mg per kg IV q8h OR Ganciclovir 5 mg per kg IV q12h Preferred Regimen with CNS symptoms Ganciclovir 5 mg per kg IV q12h High risk bites deep bites, symptomatic animals Preferred Regimen without CNS symptoms Acyclovir 12.515 mg per kg IV q8h OR Ganciclovir 5 mg per kg IV q12h Preferred Regimen with CNS symptoms Ganciclovir 5 mg per kg IV q12h Click on the following categories to expand treatment regimens. Rat Bites Adults Children Uncomplicated Preferred Regimen Amoxicillin-clavulanate 875125 mg orally q12h Alternative Regimen beta-lactam allergy Doxycycline 100 mg orally q12h Rat bite fever Preferred Regimen Penicillin G benzathine 600,000 to 1,000,000 unitsday IM X 10-14 days OR Tetracycline 250 to 500 mg orally q6h Alternative Regimen Streptomycin 15 mgkgday IM in a single dose or in 2 divided doses X 10-14 days Early not yet infected Preferred Regimen Amoxicillin-clavulanate 45 mgkgday orally in two divided doses X 3-7 days Alternative Regimen Cefuroxime 10 to 15 mgkg orally q12h Rat bite fever Preferred Regimen Penicillin G benzathine 25,000 to 50,000 unitsday IM X 10-14 days OR Tetracycline 8 years 25 to 50 mgkgday orally in 4 divided doses X 10-14 days Alternative Regimen Streptomycin 15 mgkgday IM in a single dose or in 2 divided doses X 10-14 days Click on the following categories to expand treatment regimens. Pig Bites Adults Children Pig Swine Preferred Regimen Amoxicillin-clavulanate 875125 mg orally q12h X 5 days Alternative Regimen Ampicillin sulbactam OR Imipenem OR Cephalosporin Pig Swine Preferred Regimen Amoxicillin-clavulanate 875125 mg orally q12h X 5 days Alternative Regimen Ampicillin sulbactam OR Imipenem OR Cephalosporin Click on the following categories to expand treatment regimens. Tick Bites Adults Children Suspected Leptospirosis Preferred Regimen Doxycycline 200 mg orally once within 72 hours of tick removal Suspected Leptospirosis Preferred Regimen Doxycycline 8 years 4 mgkg maximum 200 mg orally once within 72 hours tick removal 