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Main Line Pediatrics

Are You Sick?

Animal Bite

Is this your symptom?

  • Bite from a pet, wild animal (or human)
  • Any animal-related skin injury

Types of Wounds

  • Bruise. There is no break in the skin. No risk of infection.
  • Scrape (Abrasion) or Scratch. A wound that doesn't go all the way through the skin. Low chance of infection. Antibiotic drugs are not needed.
  • Cut (Laceration). A wound that goes through the skin to the fat or muscle tissue. Some chance of infection. Cleaning the wound can help prevent this. Most need to be seen. Antibiotic drugs may be needed.
  • Puncture Wound. These wounds break through the skin. Greater risk of infection. Puncture wounds from cat bites are more likely to get infected. Antibiotic drugs may be needed.
  • Wound Infection. This is the main risk of an animal or human bite. The main finding is redness around the bite and pain. It starts 8 hours to 3 days after the bite. It can often be prevented by early, careful cleaning of the bite. This is why most animal and human bites need to be seen.

Types of Animal Bites

  • Large Wild Animal Bites. Rabies is a disease that can kill people. Bites or scratches from any large wild animal can pass on rabies. Animals at highest risk are bats, skunks, raccoons, foxes, or coyotes. These animals may spread rabies even if they have no symptoms.
  • Small Wild Animal Bites. Small animals such as mice, rats, moles, or gophers do not carry rabies. Chipmunks, prairie dogs, squirrels and rabbits also do not carry rabies. Exception: one of these small animals actually attacks a human (an unprovoked bite). Sometimes, their bites can get infected.
  • Large Pet Animal Bites. Most bites from pets are from dogs or cats. Bites from other pets such as horses can be handled using this guide. Dogs and cats are free of rabies in most U.S. and Canadian cities. Stray animals are always at risk for rabies until proven otherwise. Cats and dogs that always stay indoors should be safe. The main risk in pet bites is wound infection, not rabies. Cat bites become infected more often than dog bites. Cat scratches can get infected just like a bite because cats lick their claws.
  • Small Indoor Pet Animal Bites. Small indoor pets are not at risk for rabies. Examples of these pets are gerbils, hamsters, guinea pigs, or mice. Tiny puncture wounds from these small animals also don't need to be seen. They carry a small risk for wound infections.
  • Human Bites. Most human bites occur during fights, especially in teenagers. Sometimes a fist is cut when it strikes a tooth. Sometimes a tooth or tooth fragment breaks off and can get embedded in the wound. Human bites are more likely to become infected than animal bites. Bites on the hands are at higher risk.
  • Bat Bites and Rabies. In the U.S., 90% of cases of rabies in humans are caused by bats. Bats have spread rabies without a visible bite mark.

Animals at Risk for Rabies

  • Bat, skunk, raccoon, fox, or coyote
  • Other large wild animals
  • Pets that have never had rabies shots and spend time outdoors
  • In the U.S., rabies occurs 4 times more in cats than in dogs.
  • Outdoor animals who are sick or stray
  • Dogs or cats in countries that do not require rabies shots
  • In the U.S. and Canada, bites from city dogs and cats are safe.
  • In the U.S., there are 2 - 3 deaths from rabies per year in humans.

When to Call for Animal Bite

When to Call for Animal Bite

Call 911 Now

  • Major bleeding that can't be stopped
  • Many deep bites on several areas of the body
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Animal or human bite that breaks the skin
  • Puncture wound (holes through the skin) of hand, face or genitals
  • Fever or chills; feeling hot or shivery
  • Bite looks infected (pus, redness or red streaks)
  • Contact with a rabies-prone animal (bat, raccoon, skunk, fox), even without a bite mark
  • Bite, cut or scrape and No past tetanus shots.
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Last tetanus shot was more than 5 years ago
  • Swelling happens in the area of the bite
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Bite did not break the skin or is only a bruise
  • Minor scratches from a pet that didn't break the skin
  • Tiny puncture wound from small pet, such as a hamster or puppy. Exception: cat puncture wound.

Call 911 Now

  • Major bleeding that can't be stopped
  • Many deep bites on several areas of the body
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Animal or human bite that breaks the skin
  • Puncture wound (holes through the skin) of hand, face or genitals
  • Fever or chills; feeling hot or shivery
  • Bite looks infected (pus, redness or red streaks)
  • Contact with a rabies-prone animal (bat, raccoon, skunk, fox), even without a bite mark
  • Bite, cut or scrape and No past tetanus shots.
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Last tetanus shot was more than 5 years ago
  • Swelling happens in the area of the bite
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Bite did not break the skin or is only a bruise
  • Minor scratches from a pet that didn't break the skin
  • Tiny puncture wound from small pet, such as a hamster or puppy. Exception: cat puncture wound.

Care Advice

  1. What You Should Know About Bites:
    • Bites that don't break the skin can't become infected.
    • Cuts and punctures are always at risk for infection.
    • Here is some care advice that should help.
  2. Clean the Bite:
    • Wash all wounds right now with soap and water for 5 minutes.
    • Also, flush well under running water for a few minutes. Reason: can prevent many wound infections.
    • Dry with a clean towel. Do not use cotton balls or tissue. They will stick to the wound.
  3. Bleeding - How to Stop:
    • For any bleeding, put pressure on the wound.
    • Use a gauze pad or clean cloth.
    • Press for 10 minutes without taking the pressure off or until the bleeding has stopped.
  4. Antibiotic Ointment:
    • For small cuts, use an antibiotic ointment (such as Polysporin). No prescription is needed.
    • Put it on the cut 3 times a day.
    • Do this for 3 days.
  5. Pain Medicine:
    • To help with the pain, take an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil). Ibuprofen works well for this type of pain.
    • Use as needed, but do not take more than the maximum recommended dosage as stated on the package.
    • If you are not sure what to take, ask a pharmacist.
  6. Cold Pack for Pain:
    • For pain or bruising, use a cold pack. You can also use ice wrapped in a wet cloth. Apply it to the bruise once for 20 minutes. Reason: helps with bleeding, pain and swelling.
  7. Tetanus Shot:
    • A tetanus shot or booster may be needed for cuts, bites and other open wounds.
    • Check your vaccine records to see when you had your last one.
    • For Dirty Cuts and Scrapes. If last tetanus shot was given more than 5 years ago, you need a booster.
    • For Clean Cuts. If your last tetanus shot was given more than 10 years ago, you need a booster.
    • See your doctor for a booster during regular office hours or call if you are not sure whether a shot is needed. It's safe to get it within 3 days or less.
  8. What to Expect:
    • Most scratches, scrapes and other minor bites heal in 5 to 7 days.
  9. Call Your Doctor If:
    • Bleeding does not stop after using direct pressure on the wound
    • Bite starts to look infected (pus, swelling, redness, red streaks, increasing pain)
    • Fever occurs
    • You think you need to be seen
    • Your symptoms get worse

And remember, contact your doctor if you develop any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Copyright 2023 Schmitt Decision Logic, LLC

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