Brief Answer:
no antibiotics, unless local guidelines suggest you should

Detailed Answer:
Hello,

we usually don't prescribe antibiotics for most insect bites (tick-bites is an exception in some areas) but local guidelines may differ, so you should ask a local doctor. Antibiotics are - normally - indicated only when a secondary infection has occurred. Scratching helps bacteria to spread, therefore you should try to avoid it. Secondary infection may present with worsening of the local manifestations and may include symptoms like pain, purulent discharge, swelling and even fever.

I hope I've answered your question. Please let me know if you need further assistance.

Kind Regards,
Dr Panagiotis Zografakis

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