Dog Bites & Infections: When to Get Stitches

"Dog Bites & Infections: When to Get Stitches," with an image of a puppy biting a person's finger.

Medically reviewed by the ER of Irving Clinical Team · Updated:

September 29, 2026

It happens in a heartbeat. Perhaps it was a play session that got too rough, or an encounter with an unfamiliar animal during your morning walk. The immediate aftermath of a dog bite is often a blur of adrenaline, pain, and worry. You’re likely asking yourself: Do I need stitches? Is it going to get infected? Should I go to the emergency room right now?

When you or a loved one is injured, the priority is peace of mind. While many minor nips can be managed with careful cleaning at home, dog bites are unique medical events. Unlike a clean cut from a kitchen knife, a dog’s mouth carries a complex ecosystem of bacteria. Understanding the nuances of dog bite treatment in Irving can be the difference between a quick recovery and a serious hospital stay.

Should I Get Stitches for a Dog Bite?

One of the most common misconceptions patients have is that every deep wound needs to be sewn shut. With dog bites, the logic is often the opposite. According to MedlinePlus, animal bites are rarely life-threatening, but if they become infected, they can cause serious medical problems. The American Academy of Pediatrics adds that stitching an animal bite can help reduce scarring, but it also increases the chance of infection.

Why Doctors Often Leave Dog Bites Open

If a healthcare provider at an urgent care or ER decides not to give you stitches, it isn’t because they are ignoring the wound; it’s often a calculated move to protect you. Stitching a bite raises the chance of infection, so your doctor may prescribe preventive antibiotics if stitches are needed.

When a Dog Bite Needs Stitches

If stitches are necessary, it is usually for large, gaping wounds. The AAP says a wound whose edges won’t come together probably needs stitches. See a doctor promptly so the wound can be cleaned and checked.

High-Risk Areas: Why Hand and Face Bites Need Immediate ER Care

Not all bites are created equal. The location of the injury drastically changes the level of risk.

The Complexity of the Hand

Your hands are marvels of anatomy, packed with tendons, nerves, and joints that sit very close to the surface of the skin. A puncture wound on the hand can easily reach a tendon sheath or a joint space. According to NIH, infections in the hand can spread rapidly and lead to permanent loss of mobility if not treated with aggressive IV antibiotics and professional irrigation.

Protecting the Face

Bites to the face, especially in children, require an immediate trip to the emergency room or a specialized urgent care. The American Academy of Pediatrics notes that bites can cause facial damage. Doctors may also prescribe antibiotics for facial bites.

Identifying Infection: Signs of Cellulitis and Beyond

Five warning signs of an infected dog bite: spreading redness, warmth, swelling and tenderness, pus or drainage, and fever, chills or fatigue

According to the CDC, dog bites can spread germs such as Capnocytophaga and Pasteurella. Animal bites can also lead to cellulitis, a common skin infection caused by bacteria, per MedlinePlus.

Watch for these warning signs of infection:

  • Spreading Redness: A red area that grows larger, or red streaks that spread out from the bite.
  • Increased Warmth: The skin around the bite feels hot to the touch.
  • Swelling and Tenderness: The area around the bite becomes swollen and tender, a sign of infection listed by the AAP.
  • Ooze or Pus: Pus or drainage coming from the bite.
  • Systemic Symptoms: Fever, chills, or fatigue.

Critical Vaccinations: Rabies and Tetanus Concerns

When you seek dog bite treatment in Irving, your provider will immediately ask about two things: Tetanus and Rabies.

When Was Your Last Tetanus Shot?

Tetanus is a serious disease caused by bacteria found in soil and dust, which can be introduced into the body through a bite. The CDC recommends a tetanus booster every 10 years. However, the CDC advises seeing a healthcare provider after a dog bite if it has been more than 5 years since your last tetanus shot. If you’re unsure of your records, it’s safer to get the booster during your visit.

Assessing the Rabies Risk

While rabies is rare in domestic dogs in the U.S. due to strict vaccination laws, it is a fatal disease once symptoms appear. The CDC advises that a healthy dog that bites a person should be confined and observed for 10 days, working with public health officials. Health officials decide case by case whether you need “Post-Exposure Prophylaxis” (the rabies vaccine series). If the dog is a stray or acts strangely, get medical care right away.

At-Home First Aid: What to Do in the First 10 Minutes

Dog bite first aid in four steps: pressure, washing, antibiotic ointment, and covering the wound

Before you head to the ER, there are steps you can take to lower the risk of complications:

  1. Pressure: If the wound is bleeding, apply a clean cloth and firm pressure until it stops.
  2. Wash Thoroughly: Wash the wound thoroughly with soap and water, as the CDC advises.
  3. Antibiotic Ointment: Apply a thin layer of over-the-counter antibiotic cream.
  4. Cover: Use a sterile bandage to keep dirt out while you transition to a medical facility.

When to Seek Emergency Care for a Dog Bite in Irving

Four situations where a dog bite needs emergency care: an unknown dog, bleeding that will not stop, a deep or facial wound, or a weakened immune system

It is always better to be told a wound is fine than to ignore a wound that becomes an emergency. You should seek professional dog bite treatment in Irving if:

  • The bite was caused by a dog you don’t know or a dog that isn’t up to date on vaccines.
  • The wound won’t stop bleeding with firm pressure.
  • The bite is deep, exposes bone/muscle, or is located on the hand, foot, or face.
  • You have a weakened immune system, such as from cancer, diabetes, or HIV. The CDC says this raises the risk of infection and serious illness.

Seek Professional Care for Dog Bites: Fast Treatment at the ER of Irving

If you or a loved one has suffered a dog bite, it’s crucial to seek timely medical care. Whether you need stitches, are concerned about infection, or need a tetanus booster, our team at ER of Irving is here to provide expert treatment. Don’t wait. The sooner you seek care, the better your chances of a full recovery.

Seek emergency care right away for a deep bite or a bite to the hand, foot, or face. Also go for bleeding that will not stop, a bite from an unknown or stray dog, or any spreading redness or fever. See the emergency services at ER of Irving.

Call us now at (972) 893-3148 for immediate assistance or to speak with a healthcare professional.

Outdoor bite risks in North Texas do not stop with dogs. Our snake bite safety and first aid guide covers venomous encounters around the home.

Stay informed with helpful tips on dog bites and keeping your family safe. Follow ER of Irving on Facebook and Instagram for health updates.

FAQs

How long do I have to get a dog bite checked by a doctor? 

For a deep or serious bite, seek medical attention right away, as the CDC advises. Germs can spread from a bite even if the wound does not seem deep or serious.

Do I really need a tetanus shot for a small nip? 

If the skin was broken, check with a healthcare provider. Germs can spread even from a small bite. The CDC advises seeing a provider if your last tetanus shot was more than 5 years ago.

Will I have to report the dog? 

The CDC advises reporting dog bites to your local animal control agency or police department. This is especially important if you don’t know whether the dog has had its rabies vaccine. 

Can I take antibiotics at home for a dog bite? 

Talk to a doctor first. The AAP notes that doctors may prescribe antibiotics for moderate or severe bites, puncture wounds, and bites to the face, hands, or feet.

What if the dog that bit me was fully vaccinated? 

Even if the dog is vaccinated against rabies, a bite can still spread germs, according to the CDC. Some, like Capnocytophaga, can lead to sepsis. You still need to ensure the wound is properly cleaned and monitored.

How do I know if a dog bite is “deep”? 

If the edges of the wound won’t come together, the AAP says it probably needs stitches. The CDC advises seeing a healthcare provider for any deep bite.

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