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.



The Emergency Medicine Kenya (EMK) Foundation is a not-for-profit organization registered in Kenya in 2015 that aims to ensure timely, accessible and quality lifesaving emergency care in Kenya.