Dog Bite (Treatment) - Treatment

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Were you bitten by a dog? How was the wound(s) treated?

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What is the treatment for a dog bite?

There are three important treatment issues that need to be addressed with a dog bite:

  1. the skin damage
  2. injury to underlying tissues such as muscle, nerve, and bone;
  3. and infection.

It is easy to look at a dog bite and see that the skin has been damaged, but it is also important to assess the underlying structures that may have also been injured in the attack. The patient often concentrates on the cosmetic appearance of the wound; while that is important, the health care practitioner may be more concerned about the injuries that will impair the body's function. For example, a laceration to a hand may look bad, but more important than the potential scarring would be a lacerated tendon that would prevent a finger from moving.

The potential for infection is also of great importance. Dog bites inoculate bacteria deep into tissue, and while not as aggressive as cat bites, the majority of dog bites do get infected. Common bacteria involved in such infections include Streptococcus, Staphylococcus, and Pasteurella.

Rabies is always a concern, and it is important to know the dog's immunization status. If the dog has not been immunized, the question becomes whether to immunize the patient against the rabies virus. A variety of approaches may be considered depending upon the situation surrounding the bite.

  • Is the dog available to be observed?
  • Was the bite provoked or defensive rather than an unprovoked attack?
  • Where is the bite located?
  • What is the past medical history of the victim?

Once the health care practitioner has taken a history of the events and examined the patient, most dog bites can be cared for in the emergency department or doctor's office. The physical exam will help decide whether any deep structures like muscle, tendon, nerve, or bone have been damaged.

Commonly, the wound is anesthetized so that it can be explored. This will help confirm the condition of the deep structures and their function. The wound will then be washed with normal saline (a salt water solution) to irrigate out as much dirt and bacteria as possible.

Once the wound has been cleaned, a decision needs to be made whether to close the skin. Suturing the skin (to make the scar look better) increases the risk of infection. Balancing the risk of infection against the benefit of a better looking scar depends upon the location of the injury and the discussion between health care practitioner and patient. Dog bites to the face tend to be sutured, while those located on less noticeable parts of the body may be left to heal on their own.

Sometimes, the dog bite wounds need to be repaired in the operating room if there is considerable skin damage or skin loss, or if there are associated injuries that require treatment.

With infants and children, the decision may be considered to repair their lacerations in the operating room, especially if facial wounds are involved, because of the need for prolonged anesthetic to keep the patient still.

There is some controversy regarding antibiotic therapy for dog bites. Some health care practitioners routinely prescribe antibiotics while others choose to wait until the wound shows signs of potential infection.

Return to Dog Bite (Treatment)

See what others are saying

Comment from: Victim, 55-64 Female (Patient) Published: August 19

Our friend's pet bit my wife on the face when she tried to carry the elderly dog up the stairs. The puncture wounds did not enter the mouth. Currently, we are using hydrogen peroxide and Dr. Sheffield's Maximum Strength Triple Antibiotic.

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Comment from: betsybear, 65-74 Female (Patient) Published: August 19

I was bitten by my Dalmatian several days ago. He is 12 years old and has an ear infection and is going deaf as a result. He was asleep on the couch, and I went to make him get off and get in his own bed. I think I must have startled him, and his reaction was a natural one, because as soon as he realized it was me, he let go. I went immediately to the ER, and they washed my wound (back of my right hand and base of thumb). But it was not deep, only torn skin, which at my age is very thin anyways. They bandaged it after cleaning it with peroxide and water and gave me a tetanus shot and prescribed an antibiotic to fight any infection. They butterfly taped it before wrapping. After three days, it's trying to scab over and dry up. My dog apologized when I got home from the ER. It was mostly my fault.

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