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       # For Animal Bites
       
       # Antibiotics
       
       Clean animal bites well with soap and water.  Give antibiotics
       because animal bites are especially likely to become infected.
       
 (DIR) antibiotics
       
       Amoxicillin with clavulanic acid is the best choice for treating
       animal bites.
       
       If you do not have amoxicillin with clavulanic acid, use 2
       antibiotics: Give one of these: doxycycline, cotrimoxazole, or
       penicillin V
       
       *AND* one of these: metronidazole or clindamycin
       
       If the bite was from a dog, a bat, or another animal that could have
       rabies, also give a rabies vaccine and rabies immunoglobulin if
       needed (see below).
       
       # Rabies vaccine and rabies immunoglobulin
       
       Where there are animals with rabies, any animal bite or scratch
       breaking the skin will need thorough cleaning with soap and water for
       at least 15 minutes, a series of rabies vaccine injections, and, if
       the rabies risk is high, also an injection of rabies immunoglobulin.
       Even if there is no rabies immunoglobulin available, washing the skin
       very well right away and giving the series of rabies vaccine can
       prevent rabies.
       
 (DIR) deep wounds
       
       ## Using rabies vaccine
       
       Inject the complete vial of vaccine (either 0.5 ml or 1 ml depending
       on the vaccine manufacturer) into the upper arm muscle on the day of
       the bite, and then again on days 3, and 7.  Then, a fourth injection
       is given between day 14 (2 weeks) and 28 (4 weeks) after the bite.
       For a child 2 years or younger, give injections in the upper thigh
       (not the buttock).
       
       When giving rabies immunoglobulin, also give rabies vaccine, but use
       a different clean needle and inject in a different place on the body.
       
       ## Using rabies immunoglobulin
       
       There are two forms of rabies immunoglobulin, one made from human
       serum (HRIG) and one made from horse serum (ERIG).  HRIG is safer.
       
       ## Important!
       
       Rabies immunoglobulin can cause a severe allergic reaction for some
       people.  Always have epinephrine (adrenaline) available in case of an
       allergic reaction.
       
 (DIR) antihistamines
       
       ## How to use
       
 (IMG) Injection
       
       Inject rabies immunoglobulin in and around the cleaned wound.
       
       If there are several wounds and the amount of rabies immunoglobulin
       you have is not enough to inject into each one, add buffered saline
       solution to double the amount of liquid.  Then the person will still
       receive the correct dose and all wounds will receive some medicine.
       
       If using Human Rabies Immune Globulin (HRIG),
       
       -> inject 20 units per kg one time.
       
       If using Equine Rabies Immune Globulin (ERIG),
       
       -> inject 40 units per kg one time.
       
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