Emergency

Dog Bite

کتے کا کاٹنا

Tetanus toxoid, analgesia, anti-rabies vaccine on days 0, 3, 7 (and 14 as shown on the page), wound care and oral antibiotics.

ICD-10: —
Source: OPD handbook p.178
Status: Draft

Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.

Symptoms

Dog bite wound

Diagnosis

Examine the wound

Treatment

Step 1 of 3

1. Immediate injections

Injection T.T. IM stat
Injection Toradol IM stat
Injection ARV at 0, 3, 7 days (a '14' is written beside it on the page)

Prescription

Tetanus toxoid (TT) injectionVaccine

DoseIM stat

Brands Generic / hospital supply

Ketorolac injectionNSAID injection

DoseIM stat

Brand Inj Toradol

Anti-rabies vaccine (ARV)Vaccine

DoseDays 0, 3, 7 (and 14 as shown)

Brands Generic / hospital supply

Step 2 of 3

2. Care of wound

Wash the wound with plenty of water and pyodine / spirit
Topical antibiotic: Fusil, morning and evening, applied over the wound

Prescription

Povidone-iodine (Pyodine) and spiritAntiseptic

DoseWash the wound

Brand Pyodine / spirit

Fasil cream (generic not written in the book)Topical antibacterial (impetigo)

DoseMorning and evening over the wound

Brand Fusil

Also sold as Fasil, Fusil

Step 3 of 3

3. Oral antibiotic and NSAIDs

Prescription

AmoxicillinPenicillin antibiotic

DosePer the book (choose one antibiotic)

Brand Amoxil

Also sold as Amoxil, Dispermox

Caution: Penicillin allergy

Amoxicillin + Clavulanic acidPenicillin antibiotic + β-lactamase inhibitor

DosePer the book

Brand Augmentin

Also sold as Augmentin, Co-Amoxiclave, Calamox

Caution: Penicillin allergy; Cholestatic jaundice risk with prolonged use

Cefixime3rd-generation cephalosporin

DosePer the book

Brand Cefixime

Also sold as Cefspan, Cefim, Caricef, Tixomer, Cefiget

Rising resistance in Salmonella Typhi; not reliable as a sole agent in XDR typhoid.

Diclofenac sodiumNSAID

DoseOral NSAIDs

Brand Voren / Diclo

Also sold as Voren, Diclo, Dicloran