Post-Dog Bite Wound Care: When to Seek Further Medical Attention

Post-treatment for dog bite wounds?

Last Thursday, on my way to work, I was bitten by a dog that was being kept by a resident.
About an hour later, I received a tetanus shot and was prescribed antibiotics.
However, by yesterday, Tuesday, the wound was still oozing some red-yellow fluid.
On Tuesday, I visited a surgeon again, but they only applied medication and prescribed a three-day course of antibiotics and ointment.
I would like to ask if, after finishing the medication on Thursday, the same symptoms persist, should I seek medical assistance for the doctor to help incise the wound and drain the pus? Below is a picture of the wound: https://i.imgur.com/ZDHWmBM.jpg.
Thank you for your help, doctor.

Ken, 30~39 year old female. Ask Date: 2022/07/20

Dr. Chen Bingze reply Surgery

Hello, it is normal for there to be a yellow fluid exudate from the skin and underlying soft tissue defects caused by a dog bite.
Please continue to monitor the wound for any signs of redness or swelling.
If there are none, continue taking the antibiotics.
When changing the dressing, gently squeeze the wound to prevent the accumulation of tissue fluid.
This should help in the gradual recovery.

Reply Date: 2022/07/20

More Info

When dealing with a dog bite wound, it is crucial to monitor the healing process closely and recognize when further medical attention is necessary. Based on your description, it appears that you have already taken some important initial steps by receiving a tetanus shot and starting antibiotics. However, the persistence of redness and yellow discharge from the wound indicates that there may be an ongoing infection or inadequate drainage.

Here are some key points to consider regarding your situation:
1. Signs of Infection: The presence of red, swollen tissue, warmth around the wound, and discharge (especially if it is yellow or green) are signs that the wound may be infected. Other symptoms to watch for include increased pain, fever, or chills. If you experience any of these symptoms, it is essential to seek medical attention promptly.

2. Antibiotic Treatment: You mentioned that you have been prescribed antibiotics for three days. It is important to complete the entire course of antibiotics as prescribed, even if you start to feel better. However, if the symptoms do not improve or worsen after completing the antibiotics, you should return to your healthcare provider for further evaluation.

3. Wound Care: Proper wound care is vital for healing. Ensure that you are keeping the wound clean and dry. Follow your healthcare provider's instructions regarding the application of any topical ointments or dressings. If you notice any changes in the wound's appearance or if it becomes increasingly painful, this may indicate a need for further intervention.

4. When to Seek Further Medical Attention: If, after completing your antibiotics, the wound continues to produce yellow discharge, remains red and swollen, or if you develop new symptoms such as fever or increased pain, you should seek medical attention. In some cases, a healthcare provider may need to perform an incision and drainage (I&D) procedure to remove any pus or infected material from the wound. This is especially true if there is a collection of pus (abscess) that is not resolving with antibiotics alone.

5. Follow-Up Care: It is advisable to have a follow-up appointment with your healthcare provider to reassess the wound. They may want to perform a physical examination and possibly imaging studies to ensure that there are no underlying issues contributing to the infection.

In summary, while it is good that you have sought initial treatment for your dog bite wound, the ongoing symptoms you describe warrant further evaluation. If the situation does not improve after completing your antibiotics, do not hesitate to return to your healthcare provider for additional care. Prompt attention to infected wounds is crucial to prevent complications and ensure proper healing.

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