If a dog bites your child, stay calm but act fast. Wash the wound immediately with soap and running water for 15 minutes, then go to the hospital right away for the rabies teeka (vaccine). Rabies is 100% preventable with timely vaccination, but 100% fatal if symptoms develop. Time is critical - don't wait!
Emergency First Steps (Do This RIGHT NOW)
Watch: First Year Vaccination Schedule for Baby | Pain VS Painless Vaccine | Babynama Vaccination Package
Immediate Action Checklist:
Stay Calm: Your child needs you to be composed
Wash the Wound Immediately:
Use running water and soap
Wash for at least 15 minutes
Let water flow over the wound
Do NOT scrub aggressively
Apply Antiseptic:
Povidone-iodine (Betadine) is best
If not available, use any antiseptic
Go to Hospital:
Don't wait for the wound to look "bad enough"
Even minor scratches need evaluation
Do NOT:
Apply turmeric (haldi), chili, or any home remedy
Bandage tightly
Delay going to hospital
Try to find the dog first (waste of time)
Why Dog Bites Are Serious in India
India has the highest number of rabies deaths in the world. Key facts:
36% of global rabies deaths happen in India
97% of cases are from dog bites
30-60% of victims are children under 15
Children are at higher risk because:
They're closer to dog's face level
They may provoke dogs unintentionally
They may not report minor bites
Understanding Rabies (Haad wali bimari)
What is Rabies?
Rabies is a deadly viral infection that attacks the brain and nervous system. It's transmitted through the saliva of infected animals - usually through bites, but also through scratches or licks on broken skin.
Why Is It So Dangerous?
100% fatal once symptoms appear
100% preventable with timely vaccination
There is NO CURE once symptoms start
Symptoms of Rabies (If Untreated):
Fear of water (hydrophobia)
Fear of air/wind
Difficulty swallowing
Confusion and agitation
Paralysis
Coma and death
Good news: These can be completely prevented with the right treatment after a bite!
Types of Dog Bite Exposures
The WHO classifies exposures into three categories:
Category
Description
Treatment Needed
Category I
Touching/feeding animal, licks on intact skin
No treatment needed
Category II
Minor scratches without bleeding, nibbles on uncovered skin, licks on broken skin
Wound care + Vaccination
Category III
Single/multiple bites penetrating skin, scratches with bleeding, licks on mucous membranes
Wound care + Vaccination + Immunoglobulin
What Happens at the Hospital?
Step 1: Wound Assessment
Doctor will examine:
Depth of wound
Location on body (face/head are most serious)
Whether it's bleeding
Condition of the skin around the wound
Step 2: Wound Cleaning
Thorough washing
Antiseptic application
Doctor may NOT stitch the wound immediately (to prevent trapping infection)
Step 3: Anti-Rabies Vaccine (Teeka)
Modern vaccines are:
Given in the arm (NOT in stomach like old days!)
Safe with minimal side effects
Given on specific days: Day 0, 3, 7, 14, and 28
Vaccination Schedule:
Day
Action
Day 0
First dose (immediately)
Day 3
Second dose
Day 7
Third dose
Day 14
Fourth dose
Day 28
Fifth dose (may be skipped if Category II)
Step 4: Rabies Immunoglobulin (RIG)
For Category III exposures:
Provides immediate protection
Given around the wound
Only needed once (on Day 0)
Step 5: Tetanus Vaccination
May be given if child's tetanus shots are not up to date
Prevents tetanus infection from the wound
Step 6: Antibiotics
Usually prescribed to prevent bacterial infection
Complete the full course as directed
Age-Specific Guidance
Babies and Toddlers (0-3 years)
Higher risk due to small size and inability to protect themselves
Wounds on face/head are common
May not be able to tell you about a bite
Watch for: Unexplained scratches or wounds after being near dogs
Young Children (3-10 years)
Most common age group for dog bites
Often bitten while playing or teasing dogs
May hide bites from parents due to fear of punishment
Talk to them: Explain it's important to tell you about any dog contact
Older Children (10+ years)
Can communicate clearly about the incident
Should know basic first aid
Teach them to wash wounds immediately
Preventing Dog Bites
Teach Children:
Never approach unfamiliar dogs
Ask permission before petting any dog
Don't disturb dogs while eating or sleeping
Don't run from a dog (walk away slowly)
If a dog attacks:
Stand still like a tree
Cover face and neck with arms
Curl into a ball if knocked down
At Home:
Supervise children around pets
Vaccinate your own dogs regularly
Train family dogs properly
Never leave babies alone with dogs
Expert Insight: As our pediatricians remind parents: 'Milestones have wide ranges. Focus on progress, not comparison.'
FAQs
Q: Do I need treatment if the dog bite didn't bleed?
A: Yes! Even scratches or nibbles that don't bleed can transmit rabies if they break the skin. Always get medical evaluation.
Q: The dog that bit my child is our pet. Does he still need the vaccine?
A: If your pet is properly vaccinated against rabies, the risk is lower. However, consult a doctor immediately. They may still recommend starting vaccination while observing the dog for 10 days.
Q: Can I wait to see if the dog develops rabies symptoms?
A: This is very risky. By the time the dog shows symptoms, precious time is lost. Start vaccination immediately. You can discontinue if the dog is proven healthy after 10 days.
Q: Are the new rabies vaccines painful?
A: Modern vaccines are given in the arm like any other vaccine. They're much less painful than the old stomach injections. Some children may have mild arm soreness.
Q: How long after the bite should we get the vaccine?
A: Ideally within hours, but definitely within 24 hours. Earlier is always better. However, even if delayed, get the vaccine - it can still be effective.
Q: My child was bitten on the face. Is this more serious?
A: Yes, face/head bites are Category III because the virus reaches the brain faster. These always require immunoglobulin plus vaccine. Seek emergency care immediately.
Q: Should we try to catch the dog?
A: Don't waste time trying to catch or identify the dog. Get immediate treatment. If you can observe the dog from a distance and it survives 10 days healthily, that's helpful but not essential for treatment decisions.
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This article was reviewed by a pediatrician. Last updated: January 2025
Child bitten by a dog? Call Babynama immediately for urgent guidance while you head to the hospital.
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