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Child got scratched by a dog in the ear causing bleeding. Should injections be given immediately?

Hello, need help here. My son was scratched by a dog in his ear this morning and we only found out just this evening. It was wounded and was bleeding and we have washed it with soap and put Betadine on it just this evening. The scratch happened while my son is playing with the puppy (approximately 3 monthls old). Should I immediately have my son be injected with anti- rabies injection?
Asked On : Fri, 18 Jan 2013
Answers:  1 Views:  34
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ENT Specialist 's  Response
Aug 2013
hello and welcome to HCM,

There are two aspects to your sons treatment.

First his primary treatment:
1. Get an ENT consult to rule out any injury to the drum and initiate treatment if necessary
2. Start medications and keep the ear clean and dry

About the dog injury related treatment:
1. If you are very sure that the dog scratched the ear only with the nail or paws and did not bite the ear (that is the dogs saliva has no way of coming in contact with your sons wound); then you may wait and watch as the rabies virus spread only by body secretions such as saliva and a bite is the way of spread.
2. If you are doubtful that the injury may have been caused by bite then you need to consult your pediatrician who will decide the best course of treatment.
3. In any case make sure you observe the dog for the next two weeks for any signs of rabies like altered mood, excessive salivation, aggressiveness, and or if he dies without any obvious reason

in either case be more cautious and give an injection TT if not given earlier

take care

Dr Sriram Nathan
Answered: Tue, 27 Aug 2013
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