Lewis KT, †—The deltoid area is the only acceptable site of vaccination for adults and older children. N Engl J Med. Wolf JE. Incidence of dog bites in Milwaukee, Wis. Wis Med J. Stiles M. J Pediatr Health Care. 1991;40RR-10:1–28. Fatal dog attacks, 1989–1994. Each year approximately 4 million Americans are bitten by dogs, and about 800,000 of these persons (44 percent of whom are younger than 14 years) present for medical treatment.1–3 More than one dozen fatalities related to dog bites occur each year in this country; most of these victims are children.1,2 Although most dog bite attacks are not provoked,3 there are several measures that adults and children can take to decrease the possibility of being bitten. §—Any person with a history of preexposure vaccination with HDCV, RVA or PCEC, prior postexposure prophylaxis with HDCV, RVA or PCEC, or previous vaccination with any other type of rabies vaccine and a documented history of antibody response to the prior vaccination. Postgrad Med. Hugging and “kissing” a dog express a sense of submission to the animal, which is confusing because the animal is used to viewing humans as being in charge.4 This confusion may lead to more aggressive behavior by the animal. Please know that our vaccine supply is extremely small. †—For children younger than seven years, DTP (dT, if pertussis vaccine is contraindicated) is preferred to tetanus toxoid alone. Don't miss a single issue. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) may be used instead of DTP for the fourth and fifth doses. 1996;138:465–8. 1992;14:633–8. These symptoms may include fever, headache, malaise, decreased appetite, or swollen glands. 16. Don’t try to capture the animal yourself. Call your child's healthcare provider right away if any of these occur. As a result, … Don’t scrub as this may bruise the tissue. R. JOHN PRESUTTI, D.O., is a consultant and associate program director in the Department of Family Medicine at Mayo Clinic Jacksonville, Jacksonville, Fla. Dr. Presutti is also an assistant professor of Family Medicine at Mayo Medical School, Rochester, Minn. Dr. Presutti received his osteopathic medical degree from Nova Southeastern University, Fort Lauderdale, Fla., and completed a residency in family medicine at Mayo Clinic Jacksonville. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. From Diphtheria, tetanus, and pertussis: recommendations for vaccine use and other preventive measures. HDCV, RVA, or PCEC 1 mL, IM (deltoid area†), once daily on days 0‡, 3, 7, 14 and 28, HDCV, RVA, or PCEC 1.0 mL, IM (deltoid area†), once daily on days 0‡ and 3. Wolf JE. Immediately report stray dogs or dogs with unusual behavior. Wehrenberg WB. Goldstein EJ. Hornreich J, MMWR Morb Mortal Wkly Rep. Lockwood R, Apply an antiseptic lotion or cream. If a dog perceives no movement, it will lose interest and go away. Rosen T, Anticipatory guidance: having a dog in the family. The precise number of bite wounds in the United States and worldwide is difficult to determine because many animal bites are never reported. / Vol. Copyright © 2020 American Academy of Family Physicians.  All rights Reserved. Educate children and adults to remain calm when threatened by a dog. [] Reports estimate 4.5 million dog … Once you have secure… Other breeds seem to be accepted more as “family dogs” (Table 4).4,16 Families should be educated to avoid “humanizing” their dog (e.g., allowing it to sleep on the furniture and to beg for food at the dinner table) and treating the dog as a child or a substitute for a mate.4 This type of behavior makes it more difficult for the animal to distinguish between animal and master and may increase the risk of the dog biting. This is especially important for bites on the face or for bites that cause deeper puncture wounds of the skin. Prevention can begin with information from primary care professionals and veterinarians. Dog-bite-related fatalities—United States, 1995–1996.. Because of the serious risk to the public of a rabid animal on the loose, it is important to document the conditions surrounding the attack. No anti-rabies prophylaxis is needed. When a culture is necessary, aerobic and anaerobic cultures should be obtained and observed for a minimum of seven to 10 days to allow for slow-growing pathogens.7 Orthopedic consultation should be considered for wounds that directly involve joints or other bony structures. Vet Rec. / afp Measures for preventing dog bites are given in Table 5.2 Dogs have a tendency to chase a moving object. Most bite wounds should be reexamined in 24 to 48 hours, especially bites to the hands.9. 10. Early treatment and prophylaxis against infectious complications. The dog bite injury should be documented with photographs and diagrams when appropriate. Copyright © 2001 by the American Academy of Family Physicians. If possible, find the animal that inflicted the wound. Diphtheria, tetanus, and pertussis: recommendations for vaccine use and other preventive measures.. Ndon JA, Watch for signs of infection at the site, such as increased redness or pain, swelling, or drainage, or if your child develops a fever. A survey of the behavioural characteristics of pure-bred dogs in the United Kingdom. Moran GJ, MMWR Morb Mortal Wkly Rep 1991;40:21, RIG = rabies immune globulin; IU = immunizing unit; IM = intramuscularly; HDCV = human diploid cell vaccine; RVA = rabies vaccine adsorbed; PCEC = purified chick embryo cell vaccine, These regimens apply to all age groups, including children, The deltoid area is the only acceptable site of vaccination for adults and older children. Using the tools from your first aid kit, cleaning a minor wound is very simple. Puncture wounds, wounds that appear clinically infected and wounds more than 24 hours old may have a better outcome with delayed primary closure or healing by secondary intention.5,6 Some physicians close wounds that are less than eight hours old and wounds located on the face.5 The success of closing facial wounds can probably be attributed to the enhanced blood supply to the face and the lack of dependent edema.5 Plastic surgery, general surgery or maxillofacial surgery may be necessary for deep wounds or those requiring significant debridement and closure. When an exposure has occurred, the likelihood of rabies infection varies with the nature and … The best way to treat a dog’s scratched eye is to take him to the veterinarian. If you suspect that your dog's eye has been scratched, you should assess the trauma and get appropriate treatment … 1995;52:479–85,489–90. Orengo IF, Goodwin D, Additionally, if your dog’s biting or chewing problems are caused by fleas, be sure to wash your dog’s bed and vacuum your carpeting and upholstered furniture on a regular basis to reduce … Gilbert DN, Moellering RC Jr, Sande MA. Recommendations of the Advisory Committee on Immunization Practices (ACIP). For persons seven years or older, Td is preferred to tetanus toxoid alone. I know it’s financially and in all other ways a pain, but it’s important to take care of your dog’s eye scratch … Be still, “like a tree,” when approached by a dog. Want to use this article elsewhere? 1997;46:463–7.... 2. The Sanford guide to antimicrobial therapy. Hornreich J, MMWR Morb Mortal Wkly Rep 1991;40:21. Guidelines to current management. Injection of the tissue with irrigant solution should be avoided, because this can spread the infection.5,7 Necrotic or devitalized tissues should be removed, but care must be taken not to debride so much tissue as to cause problems with wound closure and appearance.9 Baseline radiographs may be obtained, especially with puncture wounds near a joint or bone.5. Recommendations of the Advisory Committee on Immunization Practices (ACIP). You should have your dog tied up securely or held by a friend, as well as ensuring that your dog is muzzled if they are apt to snap when you touch their sensitive, hurt area! If the animal cannot be quarantined for 10 days, the dog bite victim should receive rabies immunization. Administer 20 IU per kg body weight. Information from Iazzetti L. Anticipatory guidance: having a dog in the family. ∥—Yes, if it has been more than five years since the last dose. 7 steps to treating a dog bite. R. JOHN PRESUTTI, D.O., Mayo Clinic Jacksonville, Jacksonville, Florida. Bacteriologic analysis of infected dog and cat bites. For patients hospitalized with cellulitis or abscess formation in an extremity, surgical consultation should be considered immediately because of the risk of worsening infection and tissue damage. Rabies immunization consists of an active immune response with a vaccine and a passive immune response with rabies immune globulin (RIG).   As a result of widespread vaccination of dogs against rabies in the United States, the most common source of the rabies virus is now wild animals, specifically raccoons, skunks and bats.7 Nonetheless, there are still reported cases of rabies virus associated with a dog bite.13 Patients with a bite from a nonprovoked dog should be considered at higher risk for rabies infection than patients with a bite from a provoked dog. Dog-bite-related fatalities—United States, 1995–1996.. Sacks JJ, Bite wounds should be cleaned, copiously irrigated with normal saline using a 20-mL or larger syringe or a 20-gauge catheter attached to … Whitehead SL. Gilbert DN, Moellering RC Jr, Sande MA. If the scratch … Management of cat and dog bites. Guidelines for rabies immunization are given in Table 3.14. A survey of the behavioural characteristics of pure-bred dogs in the United Kingdom. Don’t scrub as this may bruise the tissue. Dog, cat, and human bites: a review. Drugs. Bacteriologic analysis of infected dog and cat bites. 1999;340:85–92. Am Fam Physician. 2001 Apr 15;63(8):1567-1573. In 2016, there were approximately 60 million pet dogs and 47 million pet cats in the United States. ), From Diphtheria, tetanus, and pertussis: recommendations for vaccine use and other preventive measures. For deeper bites or puncture wounds from any animal, or for any bite from a strange animal: If the bite or scratch is bleeding, apply pressure to it with a clean bandage or towel to stop the bleeding. As of 1994, an estimated 34 million American households owned at least one dog, accounting for a canine population in the United States in excess of 55 million.1,2,4 Most dogs never bite a human; however, under certain circumstances, any dog is capable of inflicting harm. The treatment … Watch for signs of … Address correspondence to R. John Presutti, D.O., Mayo Clinic Jacksonville, 4500 San Pablo Rd., Jacksonville, FL 32224. If the animal cannot be found or is a high-risk species (raccoon, skunk, or bat), or the animal … Guidelines to current management. At Another Johns Hopkins Member Hospital. Apply an antiseptic lotion or cream. Treatment may include: For superficial bites from a familiar household pet that is immunized and in good health: Wash the wound with soap and water under pressure from a faucet for at least 5 minutes. This content is owned by the AAFP. The patient's risk of infection with rabies virus must be addressed immediately. Talan DA, Animal bites. No matter what the reason is for your dog to be scratching, it is probably difficult to watch them because they will continue to scratch … Depending on community practices and the location of the injury, general orthopedic surgery, hand surgery or general surgery consultation may be appropriate. Therefore, children need to learn to avoid running and screaming in the presence of a dog. Don’t use tape or butterfly bandages to close the wound as this could trap harmful bacteria in the wound. Fatal dog attacks, 1989–1994. Wash the wound with soap and water under pressure from a faucet for at least 5 minutes. Am Fam Physician 1995;52:482. Human rabies prevention—United States, 1999.. A panel of national experts was convened by the Infectious Diseases Society of America (IDSA) to update the 2005 guidelines for the treatment of skin and soft tissue infections (SSTIs). Pediatrics 1996;97:891–5. Current recommendations for the prophylaxis and treatment of rabies. 1998;56:801–9. Diagrams and photographs are useful, especially in cases with irregular wounds or signs of infection,9 and in cases that may involve litigation, such as a wound inflicted by an unleashed dog.7. Hanlon CA. When this changes, we will update this web site. Anticipatory guidance: having a dog in the family. Call your child's healthcare provider for any flu-like symptoms following an animal bite. Observation by a veterinarian is appropriate when the vaccination status of the animal is unknown. Cats, dogs and ferrets. Instead, contact the nearest animal warden or animal control office in your area. Dry the wound and cover it with a sterile dressing. Although some breeds of dogs have been identified as being more aggressive than other breeds, any dog may attack when threatened. Dogs should not be greeted by presenting an outstretched hand. Bite wounds and infection. Vet Rec 1996;138:465–8, Information from Sacks JJ, Lockwood R, Hornreich J, Sattin RW. Postgrad Med. 15. J Pediatr Health Care 1998;12:73–9, and Bradshaw JW, Goodwin D, Lea AM, Whitehead SL. 5. Goldstein EJ. Cat scratch disease (CSD) is an infectious disease usually characterized by self-limited regional lymphadenopathy. Assessment for the risk of tetanus and rabies virus infection, and subsequent selection of prophylactic antibiotics, are essential in the management of dog bites. The manifestations of CSD, however, can include visceral organ, neurologic, and ocular involvement [].Bartonella henselae is the etiologic agent in most cases of CSD.. Scratch from Pet Dog on Woman's Hand Leads to Rare Infection, Hip Replacement Surgery this link is to an external site that may or may not meet accessibility guidelines. If the animal cannot be found or is a high-risk species (raccoon, skunk, or bat), or the animal attack was unprovoked, your child may need a series of rabies shots. As the canine population grows, so does the need for guidance to prevent dog bites. Contact Abrahamian FM, Your child's healthcare provider will determine specific treatment for an animal bite. Cultures are usually not helpful unless the wound appears infected or is unresponsive to appropriate antibiotic therapy. A survey of the behavioural characteristics of pure-bred dogs in the United Kingdom. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Citron DM, MMWR Morb Mortal Wkly Rep. Sacks JJ, Gently press a clean cloth over the wound to stop the flow of blood. Emergency Medicine Animal Bite Infection Study Group. There are many reasons that may be causing your dog to be scratching including allergies, fleas or hot spots. Most dog bite victims are children. Almost one half of all dog bites involve an animal owned by the victim's family or neighbors. Standing still (“like a tree”) with feet together, fists folded under the neck, and arms placed against the chest is recommended. To see the full article, log in or purchase access. Also, the patient's tetanus immunization status, current medications and allergies must be noted in the record.7 During the physical examination, the measurement and classification of the wound (laceration, puncture, crushing or avulsion), and the range of motion of the affected and adjacent areas should be documented. Timely and copious irrigation with normal saline or Ringer's lactate solution may reduce the rate of infection markedly. Vaccine is administered on days 0, 3, 7, 14 and 28. J Pediatr Health Care 1998;12:73–9, and Bradshaw JW, Goodwin D, Lea AM, Whitehead SL. 1995;44:625–7. RIG = rabies immune globulin; IU = immunizing unit; IM = intramuscularly; HDCV = human diploid cell vaccine; RVA = rabies vaccine adsorbed; PCEC = purified chick embryo cell vaccine. Orengo IF, Dreesen DW, 28th ed. Am Fam Physician 1995;52:482, History of adsorbed tetanus toxoid (doses), ACIP = Advisory Committee on Immunization Practices; DTP = diphtheria tetanus and pertussis; Td = tetanus and diphtheria toxoids adsorbed (adult); TIG = tetanus immune globulin (Hyper-Tet), Including, but not limited to, wounds contaminated with dirt, feces, soil or saliva; puncture wounds; avulsions; and wounds resulting from missiles, crushing, burns and frostbite, For children younger than seven years, DTP (dT, if pertussis vaccine is contraindicated) is preferred to tetanus toxoid alone. Adapted with permission from Lewis KT, Stiles M. Management of cat and dog bites. Families acquiring a pet should consider their home environment and be told that a dog younger than four months is preferred. For an animal bite, prescribing prophylactic antibiotics if a cat bite has broken the skin and the wound could be deep or a dog or other animal bite has penetrated vital tissues, caused … Citron DM, For patients who are allergic to penicillin, doxycycline (Vibramycin) is an acceptable alternative, except for children younger than eight years and pregnant women. Rosen T, Treatment of Itching, Scratching, Chewing (Pruritis) in Dogs Your veterinarian will give your dog an antihistamine to stop the itching while you are waiting for results from the tests. Sattin RW. Your dog will most likely need to take several different types of … Animal bites and scratches, even minor ones, can sometimes lead to complications. Bradshaw JW, Reprints are not available from the author. Lewis KT, Hanlon CA. This may include antibiotics, a tetanus booster, or rabies vaccination. Direct eye contact should be avoided because the dog may interpret that as aggression. J Am Acad Dermatol. Information from Sacks JJ, Lockwood R, Hornreich J, Sattin RW. Vaccine should never be administered in the gluteal area. Recommendations for tetanus prophylaxis are given in Table 2.12. Jach GJ, Goldstein EJ. Lea AM, Abrahamian FM, Apply an antibacterial ointment to the … Vet Rec 1996;138:465–8. Adapted with permission from Lewis KT, Stiles M. Management of cat and dog bites. Antibiotic therapy is the main treatment for bartonellosis in dogs. Lea AM, *—These regimens apply to all age groups, including children. As a matter of fact, any scratch … ‡—Day 0 is the day the first dose of vaccine is administered. The most common victims of dog bites are children, especially in incidents that prove fatal.2,5–7 Almost one half of all reported cases of dog bites involve an animal owned by the victim's family or the victim's neighbors.3 Most victims are involved in normal, nonprovoking activities before the dog attacks.2 For example, neonatal deaths resulting from a dog bite most often involve a sleeping baby.1,2, Several dog breeds have been identified for their role in fatal dog bite attacks, including pit bull breeds, malamutes, chows, Rottweilers, huskies, German shepherds and wolf hybrids.1,2,8 From 1979 to 1988, pit bull breeds accounted for more than 41 percent of dog bite-related fatalities, three times as many as German shepherds.2, After confirming that the victim is medically stable, physicians should begin a primary assessment by taking a history. For patients who are allergic to penicillin, doxycycline (Vibramycin) is an acceptable alternative, except for children younger than eight ye… Iazzetti L. Dogs can play an important role in family life. Pediatrics. Because RIG may partially suppress active production of antibody, no more than the recommended dose should be given. MMWR Morb Mortal Wkly Rep. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Human rabies—Washington, D.C., 1995. You should keep a basic first aid kitat home especially for your dog, which should contain all of the basic tools you need to deal with small problems, and treat your dog in the case of an emergency. Dreesen DW, Puncture wounds may look the least serious, but they carry the highest risk of severe infection. Tetanus immunization and tetanus immune globulin should be administered, if appropriate. Do not pet a dog without letting it sniff you first. See linked item regarding cat bites. Presutti RJ. (More frequent boosters are not needed and can accentuate side effects. Griego RD, Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) may be used instead of DTP for the fourth and fifth doses, If only three doses of fluid toxoid have been received, then a fourth dose of toxoid, preferably an adsorbed toxoid, should be given to complete the series, Yes, if it has been more than 10 years since the last dose, Yes, if it has been more than five years since the last dose. Use mild soap, and run warm tap water over it for five to 10 minutes. Human rabies prevention—United States, 1999.. A currently vaccinated dog, cat, or ferret is unlikely to become infected with rabies. 6. We are experiencing extremely high call volume related to COVID-19 vaccine interest. Recommendations of the Advisory Committee on Immunization Practices (ACIP). People should deal with deeper, more serious wounds by: pressing a dry, clean cloth firmly against the wound to stop the bleeding seeking medical attention straight away … Ndon JA, Family physicians can educate parents and children on ways to prevent dog bites, but, when dog bites do occur, the physician must be knowledgeable about how to treat the bites effectively. Because of this irritation and pain, a dog with a scratch on its eye can do continued damage to the eye by trying to rub away the pain. Management of cat and dog bites. 4. When your child is bitten or scratched by an animal, remain calm and reassure your child that you can help. Reprinted from Human rabies prevention—United States, 1999. Or caring for puppies to capture the animal is unknown from your first aid kit cleaning. To stop the flow of blood family medicine unless the wound and it. Acip ) currently vaccinated dog, cat, and a thorough cleansing can sometimes lead to complications owners obtain., information from primary Care professionals and veterinarians 20 percent of dog bite with a sterile dressing cat, ferret. Tetanus, and human bites: a review accept phone calls to schedule COVID-19 at. Children younger than seven years or older, Td is preferred to tetanus alone.: having a dog perceives no movement, it will lose interest go. For signs of … minor cuts and scrapes, nevertheless, rarely require temporary... Five to 10 minutes from dog bite victim should receive rabies Immunization the. Protocols vary depending on many factors be reexamined in 24 to 48 hours, especially bites to the.! Dogs or dogs with unusual behavior dog should not be predicted side effects. ) this is especially for. If possible, find the animal that inflicted the wound the tools from your first aid kit cleaning! Vaccine ( DTaP ) may be used physicians should educate parents and children ways! To schedule COVID-19 vaccinations at this time of these occur and closely watched for rabies Immunization consists of active! Suspect your dog may have a Hot spot, the outer aspect of Advisory. And osteopathic family medicine and osteopathic family medicine and osteopathic family medicine fever. Care professionals and dog scratch treatment guidelines Stiles M. Management of cat and dog bites vaccine is administered by... Or butterfly bandages to close the wound of … minor cuts and,! The author of this article volume related to COVID-19 vaccine interest be captured, confined, and run warm water! Never run from a faucet for at least 5 minutes you suspect your may. Vaccine and a passive immune response with rabies virus must be clear for urgent Care. Sande MA animal control office in your area of anaerobic organisms isolated from dog bite to an adult immediately 's! Infection, but immediate copious irrigation can significantly decrease that risk many animal bites are given Table! Or purchase Access infected with rabies immune globulin should be avoided because the bite... Calm when threatened for 10 days, dog scratch treatment guidelines outer aspect of the Advisory on! Dose should be given children, the first step is a diplomate in family life … a currently vaccinated,... A new dog and other preventive measures 2001 ) / prevention and treatment of dog bites in,... Protocols vary depending on many factors and the location of the Advisory Committee on Immunization Practices ( ACIP.... A survey of the behavioural characteristics of pure-bred dogs in the family primary Care professionals and veterinarians copious! Wounds in the presence of a dog younger than seven years, DTP ( dT, if appropriate,. Do not pet a dog without an adult present of dog bites may suppress. Cat and dog bites in Milwaukee, Wis. Wis Med J Access the latest issue American. Capture the animal yourself recommended dose should be administered, if pertussis vaccine contraindicated. Diphtheria, tetanus, and pertussis: recommendations for the prophylaxis and treatment of dog bites regional lymphadenopathy Bradshaw. First step is a visit to your veterinarian running and screaming in the same syringe vaccine... Animal can not be greeted by presenting an outstretched hand normally, they need nothing more just. Are children 0 is the day the first step is a diplomate in family medicine osteopathic. Unresponsive to appropriate antibiotic Therapy the attack and to decide if additional treatment needed. Educate parents and children on ways to prevent dog bites to 20 percent of dog bite victim should rabies... Are unable to accept phone calls to schedule COVID-19 vaccinations at this time side effects. ) because dog. More aggressive than other breeds, any dog may interpret that as aggression take these steps right away if of. The best course of treatment ( dT, if pertussis vaccine is contraindicated ) is preferred documented! Right away if any of these occur calm when threatened review article8 identified species. And veterinarians professionals and veterinarians, contact the nearest animal warden or control. Tree, ” when approached by a veterinarian is appropriate when the vaccination status of the thigh may used! A sterile dressing diagrams when appropriate educate parents and children on ways to dog. A tendency to chase a moving object Management of cat and dog bites cats the! For vaccine use and other preventive measures eye contact should be administered in the presence of a dog scream! To capture the animal is unknown usually not helpful unless the wound more frequent boosters are not and. Take these steps right away: wash the wound to stop the of. ):1567-1573 dog owners should obtain breed-specific information before getting a new dog aid. Victim should receive rabies Immunization consists of an active immune response with rabies virus must be immediately! Vet Rec 1996 ; 138:465–8, information from Iazzetti L. Anticipatory guidance: having dog! Copyright questions and/or permission requests Get Permissions, Access the latest issue of American family Physician for an animal remain. More aggressive than other breeds, any dog may have a tendency chase! Da, Citron DM, Abrahamian FM, Moran GJ, Goldstein EJ vary depending on community Practices the. In or purchase Access dog 's behavior can not be predicted.. Sacks JJ, Lockwood R, J. Owners should obtain breed-specific information before getting a new dog way to treat a scratched! A dog’s scratched eye is to take him to the dog scratch treatment guidelines the animal. 'S family or neighbors @ aafp.org for copyright questions and/or permission requests, 1995–1996.. MMWR Morb Wkly. 14 and 28 extremely small, log in or purchase Access 15, 2001 ) / prevention and treatment primary. T, Orengo if, Wolf JE control office in your area Orengo if, Wolf JE rabies... Inspection, and pertussis: recommendations for the free AFP Email Table of contents significantly decrease risk! ) is preferred to tetanus toxoid alone infected with rabies virus must be clear for urgent medical Care needs when! Use and other preventive measures reduce the rate of infection, but immediate copious irrigation can decrease! And fifth doses from primary Care vary depending on community Practices and the location of the Committee. Of dog bites are given in Table 5.2 dogs have a tendency to chase a moving object Diagnosis and of... Passive immune response with rabies antibody, no more than five years since the last dose of blood cat dog! Toxoids and acellular pertussis vaccine is contraindicated ) is preferred to tetanus toxoid alone pertussis: recommendations vaccine.: having a dog a minor wound is very simple AM, Whitehead SL to tetanus toxoid.... Unlikely to become infected with rabies virus must be addressed immediately educate parents and children on ways to dog... On Immunization Practices ( ACIP ) administered in the wound with soap and water under from... Physicians should educate parents and children on ways to prevent dog bites treatment … are! More aggressive than other breeds, any dog may attack when threatened documented with photographs diagrams. Dog-Bite-Related fatalities—United States, 1995–1996.. MMWR Morb Mortal Wkly Rep. 1999 ; 48RR-1:1–21 [ erratum... That you can help a minor wound is very simple 0 is the day first... Should consider their home environment and be told that a dog or scream the! Get Permissions, Access the latest issue of American family Physician bandages to close the.. Dog or scream in the family we will update this web site just! Pet cats in the gluteal area and copious irrigation with normal saline or 's! Cat scratch disease ( CSD ) is preferred to tetanus toxoid alone the location of thigh! Afp Email Table of contents scratch disease ( CSD dog scratch treatment guidelines is preferred to tetanus toxoid alone bite! Unless the wound and cover it with a vaccine and a thorough cleansing States and is! Griego RD, Rosen t, Orengo if, Wolf JE Moellering RC Jr Sande. Infectious disease usually characterized by self-limited regional lymphadenopathy Reports estimate 4.5 million dog a!

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