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|░Bites░|

Bats, and dogs in many countries, carry the risk of transmitting rabies. If you are in any doubt about this whilst overseas, then get to a hospital. Rabies has 100% death rate if you get it, good incentive for doingsomething about it! Human bites are an additional concern because they can transmit HIV and Hepatitis B (thisis a good incentive to get immunisedagainst Hepatitis B also before you go overseas). The World Health Organization (WHO) recommends that those travelling overseas to developing countries, or rural areas, for a month or more should consider having the rabies immunisation series of three shots before they go. Rabies vaccine is often hard to get whilst travelling in some regions, so best to have a trustworthy vaccine before travelling!
Most bites have potential to get infected with micro-organisms (called pathogens) so generous irrigation with a sterile solution, or one containing a sterilising solution like iodine, is advised. Dead tissue should be removed as much as possible, though this should be undertaken cautiously on the face, sothis procedure may often have to be carried out in a hospital or medical clinic. It is often a good idea to take your own syringes and needles in case you need an injection or urgent blood test.
Antibiotics are routinely given with animal and human bites, but It is unclear if they limit infection which appear to be low anyway: about 2-3% with dogs and cats. Antibiotics are advisable with high risk wounds like deep punctures from a cat, those needing surgical repair and especiallyto hand wounds. Tetanus immunisation should be given, if not already done so in the previous 10 years.


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