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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Do As A Dog Has Bitten My Daughter's Upper Lip Today?

A friends family dog bit my daughters top lip today. It bled for less than a minute. I immeadiatly applied pressure with an ice pack and applied antibiotic ointment. It doesn't look deep at all. Lip is swollen. Dog is up to date on all vaccinations and rabies. Should I do something else?

Wed, 18 Jun 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite.

As your daughter was bit by a vaccinated dog over the lip which has led to bleeding from the site, according to WHO it is categorized into Cat III.

Even it is a vaccinated dog you need to doubly check whether it is properly and completely vaccinated, because the bite is on the lip which is closer to the brain and the virus can ascend easily and reach the brain and can affect it. So I would suggest you to take

1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.
2.Passive immunization with RIGs around the wound.
3.Oral antibiotic like Tab Augmentin, twice daily
4.Topical T-Bact ointment.

Don't take any risk with this disease, I would suggest your daughter to take aforementioned treatment.
Thank you.
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What Should I Do As A Dog Has Bitten My Daughter's Upper Lip Today?

Hello, Welcome to HCM, Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. As your daughter was bit by a vaccinated dog over the lip which has led to bleeding from the site, according to WHO it is categorized into Cat III. Even it is a vaccinated dog you need to doubly check whether it is properly and completely vaccinated, because the bite is on the lip which is closer to the brain and the virus can ascend easily and reach the brain and can affect it. So I would suggest you to take 1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28. 2.Passive immunization with RIGs around the wound. 3.Oral antibiotic like Tab Augmentin, twice daily 4.Topical T-Bact ointment. Don t take any risk with this disease, I would suggest your daughter to take aforementioned treatment. Thank you.