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- W2415167493 abstract "Tetanus and rabies (if the offending dog has uncertain vaccination history) immunizations are recommended as prophylaxis for all wounds. All dogs in North America are expected to be vaccinated against rabies, which makes rabies immunizations for the victim redundant. In unvaccinated individuals, the initial primary series of tetanus shots must be administered. A tetanus booster dose should be administered to individuals who have had no doses in the past year. If bone penetration is involved, radiography via CT scan or MRI is required. Antibiotic therapy should be initiated as a prophylaxis. Amoxicillinclavulanate potassium (Augmentin) is the antibiotic of choice for a dog bite [5]. Doxycycline can be used in patients who are allergic to penicillin but not in children younger than eight years and pregnant women. Antimicrobial resistance is common with erythromycin therapy and as such should not be used as first-line therapy. Acceptable combinations include clindamycin and a fluoroquinolone in adults or clindamycin and trimethoprim-sulfamethoxazole in children [5]. If methicillin-resistant Staphylococcus aureus (MRSA) is suspected, firstline antibiotics include trimethoprim-sulfamethoxazole, doxycycline, minocycline, and clindamycin [1]. For patients with fever, sepsis, cellulites, crush injury, immune-compromise or non compliance, hospitalization is warranted and daily intramuscular injections of ceftriaxone are appropriate especially in non compliant patients [5]." @default.
- W2415167493 created "2016-06-24" @default.
- W2415167493 creator A5051591375 @default.
- W2415167493 date "2012-01-01" @default.
- W2415167493 modified "2023-09-25" @default.
- W2415167493 title "Handling Dog Bite Wounds" @default.
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- W2415167493 doi "https://doi.org/10.4172/2165-7548.1000e120" @default.
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