Question 1

Why are animal bites to the hand so serious?

Accepted Answer

Hand bites are particularly dangerous because: (1) Animal mouths contain numerous bacteria types, (2) The hand has many small compartments where infection can spread rapidly, (3) Bites over joints can cause septic arthritis, (4) Tendon sheaths can become infected (tenosynovitis), and (5) Bone infections (osteomyelitis) can develop. Cat bites are especially risky because their sharp teeth create deep puncture wounds that seed bacteria deep in tissues while appearing minor on the surface.

Question 2

Do I really need antibiotics for a small bite?

Accepted Answer

Yes, prophylactic antibiotics are recommended for most hand bites, especially cat bites, deep puncture wounds, bites over joints or bones, and bites in immunocompromised individuals. Even small-appearing cat bites can lead to serious infections within 12-24 hours. The infection risk is simply too high to skip antibiotics, as hand infections can quickly become serious and require surgery.

Question 3

Should bite wounds be stitched closed?

Accepted Answer

Most bite wounds, especially puncture wounds, should NOT be sutured closed. Closing bite wounds traps bacteria inside, dramatically increasing infection risk. Exceptions include selected facial wounds (for cosmetic reasons) or large lacerations in low-risk areas. Most hand bites are irrigated thoroughly and left open to drain, healing by secondary intention (from the inside out).

Question 4

When do I need rabies shots?

Accepted Answer

Rabies prophylaxis is recommended for: bites from bats, wild carnivores (foxes, raccoons, skunks), or unvaccinated or stray domestic animals. In Australia, rabies is not present in terrestrial mammals, but bat lyssavirus (similar to rabies) exists in bats. Any bat exposure warrants rabies prophylaxis. If the animal can be observed or tested and is confirmed healthy/negative, shots may be stopped.

Question 5

What are signs of infection I should watch for?

Accepted Answer

Warning signs include: increasing pain (especially if severe or out of proportion), increasing redness or swelling, warmth around the wound, pus or foul-smelling drainage, red streaks extending up the hand or arm, fever or chills, swollen lymph nodes in armpit, or inability to move fingers. Infections can develop rapidly (within 12-24 hours for cat bites). Seek immediate medical attention if any of these develop.

Medical Disclaimer

Animal Bites to the Hand

📖What is Animal Bites to the Hand?

🔬What Causes It?

⚠️Risk Factors

You may be at higher risk if:

🛡️Prevention