MBWA! Evidence based Dog Bite Management

It appears safe to close all dog bites regardless of location as long as they are < 8 hours old, and copious high-pressure irrigation
In patients with non-hand location dog bites, antibiotics are not needed if we leave the wound open for secondary repair.
If we primarily close the wound, we should continue to provide antibiotic prophylaxis until someone performs a randomized trial of primary closure +/- antibiotic prophylaxis.

Emergency Medicine Kenya Foundation (EMKF) is a not-for-profit (NGO) public benefit organisation registered in Kenya