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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Wound On Finger From A Dog Bite

I have a puncture wound on my finger from a dog bite. The wound is small but my finger tip is hot where the bite is. There are no red lines near the wound or going up my finger. The swelling in minimal. Should I be concerned about the hot finger The bite was about 48 hours ago.
Wed, 29 Oct 2014
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Infectious Diseases Specialist,  's  Response
Hello,
Welcome to HCM,

As you were bit by a dog which has led to puncture wound over the finger tips, dog is known to transmit rabies,which is 100 % fatal but it is 100% preventable by proper and adequate treatment.

As there was a bleeding from the site, according WHO categorization it is categorized into Cat III, Which requires following treatment.Even though it 48 hours after the bite you need to follow these measures.

1. Wash the wound thoroughly with soap and water to washout the rabies virus if it is present in and around the wound.
2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.
3.Passive immunization with rabies immunoglobulin in and around the wound. As it is on the finger tips, only small amount of RIGs is administered around the wound and remaining should be administered systemically.
4.Inj TT, if you have not received in last five years.
5.Oral Tab Augmentin, 625 mg, twice daily for five days.

The aforementioned measures will help to prevent development of rabies.
Thank you.
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Treatment For Wound On Finger From A Dog Bite

Hello, Welcome to HCM, As you were bit by a dog which has led to puncture wound over the finger tips, dog is known to transmit rabies,which is 100 % fatal but it is 100% preventable by proper and adequate treatment. As there was a bleeding from the site, according WHO categorization it is categorized into Cat III, Which requires following treatment.Even though it 48 hours after the bite you need to follow these measures. 1. Wash the wound thoroughly with soap and water to washout the rabies virus if it is present in and around the wound. 2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28. 3.Passive immunization with rabies immunoglobulin in and around the wound. As it is on the finger tips, only small amount of RIGs is administered around the wound and remaining should be administered systemically. 4.Inj TT, if you have not received in last five years. 5.Oral Tab Augmentin, 625 mg, twice daily for five days. The aforementioned measures will help to prevent development of rabies. Thank you.