Advanced Management of Dog Bite Wounds: A Case Series Highlighting Culture-driven Antibiotic Therapy and Innovative Irrigation Techniques

Introduction: Dog bite wounds, particularly those involving the hands, present complex challenges due to the risk of infection, involvement of deep structures, and the need for precise wound management to preserve functionality. This case series examines outcomes associated with culture-driven antibiotic therapy, surgical interventions, and the use of advanced irrigation techniques to optimize healing and reduce complica- tions. Methods: A retrospective review was conducted on patients treated for dog bite wounds involving the hands between 2021 and 2024. Data collec- tion included wound characteristics, culture results, antibiotic regimens, and the use of advanced irrigation techniques, including Irricept. Key outcome measures included infection rates, time to wound closure, and functional recovery. Results: The majority of injuries involved the fingers, with the palm and dorsal hand less commonly affected. Positive wound cultures were obtained guiding tailored antibiotic therapy. Infection rates were reduced through early intervention and culture-based management. Surgical de- bridement and irrigation, combined with advanced dressings, facilitated wound healing. Irricept irrigation was associated with improved wound cleanliness and reduced infection in cases involving deep structures. At a three-month follow-up, majority of patients achieved full or near-full hand function. No cases of tetanus or rabies were reported. Discussion: This case series demonstrates that a comprehensive, evidence-based approach to dog bite wound management can significant- ly improve outcomes. Culture-directed antibiotic therapy and the use of advanced irrigation techniques, including Irricept, were key in reducing infection rates. The findings support the integration of innovative wound care practices to optimize healing and functional recovery in complex bite injuries. Future studies should explore the scalability and long-term benefits of these strategies across diverse patient populations.