Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.


Animal Bites

Definition

An animal bite is a wound caused by the teeth of an animal. The teeth puncture, tear, scratch, bruise, or crush the person's tissue. The injury can damage skin, nerves, bone, muscle, blood vessels, or joints.

Causes

Most bites occur when an animal has been provoked. Animals with rabies bite without being provoked.

Risk Factors

A risk factor is something that increases your chance of getting a disease or condition. Most bites occur in children and young adults. Males are affected more often than females. Bites happen more frequently in warmer weather.

Symptoms

Symptoms of a bite include pain and bleeding.

Wounds may become infected due to the bacteria normally found in the animal's mouth, a systemic infection of the animal, like rabies , or from microbes on the skin or in the environment.

Symptoms of infection include:

  • Fever
  • Pain
  • Pus oozing from the wound
  • Redness around the wound
  • Swelling
  • Tenderness
  • Warmth
Diagnosis

The doctor will ask about how the bite occurred, the animal that inflicted the bite, and your medical history. The doctor will examine the wound and assess for damage to any nearby muscles, tendons, nerves, or bones. If the wound appears infected, the doctor may use a sterile swab to remove a sample for testing.

Other tests may include:

  • CT scan —to assess for head injuries in young children with scalp wounds
  • X-rays —to check for broken bones
Treatment

Treatment aims to promote healing, decrease the risk of infection, and prevent complications. If your dog bit you and it has had all its vaccinations, you may be able to treat a minor wound yourself. However, call your provider for medical advice. Receiving any necessary medical care within the first 24 hours decreases the chance of infection.

Seek medical care in these situations:

  • Five or more years since your last tetanus shot
  • Bite from any wild animal (Bites from rabbits and rodents (squirrels, mice, rats) are quite unlikely to cause rabies.)
  • Cat or human bites (These are particularly prone to developing rapid and serious infection.)
  • Deep or large wound
  • Infection

Regardless of the severity of the bite, see a doctor if you have a chronic medical condition, such as:

Self-care
  • Apply pressure with a clean towel to stop the bleeding.
  • Check the wound regularly for signs of infection.
  • Elevate the wound, keeping the area above the level of your heart to decrease swelling.
  • If bleeding does not stop within 15 minutes, seek immediate medical care.
  • Keep the bandage clean and dry.
  • Place a sterile bandage on the open area.
  • Wash the wound with soap and water for at least five minutes.
Medical Care

Your doctor can clean the wound, washing the tissue with large amounts of fluid. Debris and dead tissue can be removed. The wound may or may not be closed with stitches. It often is kept open to decrease the risk of infection. After 24 hours, the doctor may use adhesive strips to bring the edges of the wound closer together. Antibiotics may be ordered and a tetanus shot may be given

Be sure to tell your doctor as much as you can about the animal that you bit you and the circumstances surrounding the incident. If the identity of the animal is unknown and it cannot be monitored for rabies, you may need to receive treatment to prevent this life-threatening disease.

If you have received an animal bite, follow your doctor's instructions .

Prevention

To avoid being bitten by an animal:

  • Be alert to signs like ear position or bared teeth. These are signs that a dog may bite.
  • Be aware that most animal bites are from dogs. Dog owners are most likely to be bitten by their own dog.
  • Carefully select pets. People with children should look for animals with easy-going temperaments.
  • Do not bother an animal that is eating or sleeping.
  • Do not run past a dog.
  • Do not try to touch or restrain your own dog when it is injured or fighting with another dog.
  • Do not wrestle with or promote aggression in your dog.
  • If a dog approaches you, stay calm and let it sniff you. Do not make eye contact. Wait until the dog leaves or slowly backs away. If you are knocked to the ground, roll into a ball and protect your head and neck with your hands.
  • Never approach a dog or another animal that you are unfamiliar with. Do not pet or play with sick or strange animals.
  • Socialize and train your pet.
  • Supervise children's interactions with animals. Teach children to respect animals and not put their faces close to a pet. Do not allow teasing or tail pulling.

Last reviewed: September 2011 by Lawrence Frisch, MD, MPH.

RESOURCES:
CANADIAN RESOURCES:
References:
  • American Academy of Family Physicians website. Available at: http://www.aafp.org/ . Accessed October 13, 2005.
  • American Academy of Pediatrics website. Available at: http://www.aap.org/ . Accessed October 13, 2005.
  • The American Veterinary Medical Association website. Available at: http://www.avma.org/ . Accessed October 13, 2005.
  • Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ . Accessed October 13, 2005.
  • Primary Care Medicine . 4th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2000.
  • Principles and Practice of Infectious Diseases . 5th ed. United Kingdom: Churchill Livingstone, Inc; 2000.
  • Rosen's Emergency Medicine: Concepts and Clinical Practice . 4th ed. Philadelphia, PA: Mosby-Year Book, Inc; 1998.
  • Wunner WH, Briggs DJ. Rabies in the 21st century. PLoS Negl Trop Dis. 2010;4(3):e591.