Different Levels of Dog Bite – What to Expect in Each Level?

Posted on : January 25, 2022 by Clinic One Team on Rabies FAQ

To understand a dog bite, first, it is important to know the different levels of dog bites and how to treat them. Dog bites range from minor to severe, where severe dog bites have the potential to lead to death. 

The concept of levels of dog bite was first developed by Dr. Ian Dunbar. The classification given by Dr. Ian Dunbar looks into the scale of severity of the injury and classifies them accordingly. 

The scale of different levels of dog bites

Risk Level of dog bites

The different levels of dog bites and the severity of injuries given by Dr. Ian Dunbar are as follows:

  • Level One: At this level, there is no skin-to-teeth contact, and can be zestful obnoxious behavior or aggression.
  • Level Two: In this level, skin and teeth contact is made, but there are no punctures, and there may be a small tear.
  • Level Three: In this level of dog bite, there are one to four punctures made from one bite on the victim, and there is a chance of small tears being made from the victim pulling his or her body part away from the biting dog or the biting dog pulling away. 
  • Level Four: In this level, one to four deep punctures are made from a single bite, and the victim has tears and bruises, which are caused by the dog holding on to the victim or shaking while biting. 
  • Level Five: In level five of a dog bite, the dog bites its victim multiple times in which it might bite the victim more than two times in a single attack with bites of level four, in which the bite makes one to four deep punctures and there are bruises and tears caused because of the bite. 
  • Level Six: Level six is the most severe level of a dog bite. In this level, the victim dies because of the dog bite.

What to do in case of a dog bite? 

Level of dog bites and how to treat them

To reduce the risk of infection from the injury caused by the dog bite,  there are a few steps that the victim needs to take as soon as possible.

Professional medical treatment on the same day is highly recommended by health professionals because there might be punctures made by the teeth of the dog and open wounds that are jagged after a dog bite.

Emergency medicine physician Stephen Sayles III, MD says that if the wound caused by a dog bite becomes infected, then it is more likely to become a severe medical case.  

An individual might need to be hospitalized and may require intravenous antibiotics, it is highly recommended to see a primary healthcare provider at least, in case of a dog bite.

 It is crucial that a victim of a dog bite sees a health professional within eight hours of the attack, regardless of the severity of the wound. 

Leaving the wound unattended increases the risk of infection. If the victim is diabetic or immunocompromised the risk of infection is higher. 

Infection risk from a dog bite 

Level of dog bite pictures | Treatment of dog bite

The prime motive for taking care of a wound from a dog bite is said to be the attempt to prevent infection that can be caused because of the bite. 

As a rough estimation, 50% of dog bite introduces bacteria which include capnocytophaga, streptococcus, and Pasteurella. 

Dogs who are unvaccinated or undomesticated have the potential of carrying rabies and transferring it through a bite, hence a health professional will inquire about the dog that has bitten an individual.  

Symptoms of a dog bite infection can include:

  • swelling and redness around the wound
  • pain that lasts longer than 24 hours
  • drainage from the wound
  • difficulty moving the affected part of the body
  • a warm feeling around the wound

Signs that the infection may have spread to other parts of the body include:

  • fever
  • shaking
  • night sweats


Rabies is a fatal virus that transmits from one infected being to another through saliva.

This virus generally transmits through bites. Once an individual is exposed to the virus and begins to show symptoms and signs of the virus, the disease most of the time always leads to the death of the infected. 

Vaccination for rabies is always recommended for protection from the virus once an individual is at risk.

Steps to take for treating a dog bite wound 

1. Wash the wound: The first step to take to treat a wound caused by a dog bite is to wash the wound with mild soap and run warm water over the wound for five to ten minutes.

2. Slow the bleeding: Slow the bleeding from the wound using a clean cloth on the wound.

3. Apply antibiotics: To reduce the chances of infection, the application of over-the-counter antibiotic cream or antiseptic like Dettol is recommended. 

4. Cover the wound: To prevent the open wound from being exposed to other germs and bacteria covering the wound with a medical bandage is recommended.

5. Consult a health professional: An individual is highly recommended to consult a health professional as soon as possible, so the wound can be clinically examined and necessary medical steps can be taken.

6. Aftercare: Changing the bandage regularly to avoid infection after the wound has been examined by a health professional and following the aftercare instructions given by the health professional is recommended. 

7. Keeping track of the wound: An individual is recommended to keep an eye out for signs of infection.

What to expect from a doctor’s office?

When an individual becomes a victim of a dog bite, a medical professional would want to know more about the dog, the attack and the levels of dog bites to treat the victim.

Cleaning of the wound will be done again by the medical professional, they will apply antibiotics ointment on the wound such as augmentin, and will prescribe antibiotics if there is a concern of infection.

The medical professional would also want to know details about the last time the victim got a tetanus immunization and rabies vaccination shot and accordingly will recommend taking all the vaccine doses or the boosters.

The medical professional may also recommend stitches, depending on the wound.

Though generally, this is not the case. Dog bite wounds are largely not stitched, they are left open to heal naturally, but if the bite is on the victim’s face when they are stitched or when the wound has the potential of leaving severe scars or is deep they are stitched. 

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22 thoughts on "RABIES VACCINE in Kathmandu"

  1. Nana. T says:

    I’d like to know the price of vaccine for rabies.

    Hope to hear from you.


  2. tyong says:

    I was bitten by a dog five months ago and o received the vaccination but then I got bitten(a very tiny scratch)by a dog again. do I need to get vaccinated again? it says the vaccination works for 1 year in humans. and even the nearby medical doctors told me that it’s okay to not get vaccination?

  3. Subash says:

    Please sir tell me rabies booster dose schedule (ID) And how long will did it works

    1. Clinic One says:

      Please call us at 9861966614 for vaccine inquiries and information.

  4. Subash says:

    Please sir tell me rabies booster dose schedule (ID) And how long will did it works ?

  5. S. Adhikari says:

    What is full form of ARV

    1. Clinic One says:

      Hi, The full form of ARV is Anti Rabies Vaccine.

  6. S. Bajra says:

    Hi, Is ARV the vaccination taken after dog bite or is it a prevention vaccine against any possible bites? And do we need all 6 doses as said above after a bite or 2/3 dose can work depending upon the wound nature? Please help since I got a dog recently so very much curious about it.

    1. Clinic One says:

      Hi,You can take the anti rabies vaccine in both situation i.e. before or after the bite. As rabies is fatal, if you are bitten by a stray or an unvaccinated dog, we recommend you to go to your nearest medical center and take the vaccine immediately.
      For detailed information about the vaccine, you can call us at our Vaccination Hotline Number: 9861966614

  7. Em says:

    Do we need to make an appointment for a rabies vaccine? I am getting as a prevented measure . Looking to come in next week. Thanks

    1. Clinic One says:

      Hi, We have Walk-In Vaccination services at our clinic. You can come anytime between our opening hours for Rabies Vaccination.

  8. arun says:

    मलाई कतिब 2.5 महिना अघि सानो रातो धर्सा देखिने गरि घर कै कुकुर ले खेल्दै दात ले scratch गरेको थियो।रातो धर्सा मात्र देखियो । रगत बगेको थिएन।मैले साबुन पानीले हात धोए । ३/४ घण्टामा त्यो रातो धर्सा नि हराएर गयो । त्यो कुकुर घटनाको १०/१२ दिनमा मर्यो भन्ने सुनियो । मलाई कुनै लक्षण नि देखिएको छैन । मैले vaccine नि लाएको छैन। डर लागेको छ।

  9. arun says:

    नमस्कार । मलाई करिब ७२ दिन अगाडि घरमा कुकुर ले खेल्दै दात ले scratch गरिदियो । औलामा रातो धर्सा देखियो मैले हात धोय । ३/४ घण्टामै त्यो ठिक पनि भयो । त्यस्को केही दिन मा कुकुर मुखबाट फिज निकालेर मर्यो भन्ने सुने । मलाई अहिले सम्न कुनै सामन्य लक्षण नि देखिएको छैन । मलाई एकदम डर लागेको छ म के गरौं ??

    1. Clinic One says:

      नमस्कार, रेबिजको कुनै पनि उपचार नभएका कारण नजिकै को स्वास्थ्य चौकीमा गएर तुरुन्त खोप लगाउनु हुन सल्लाहा दिन्छौ |

  10. Meena biswhakarma says:

    Namaste mero 7year ko babu lai face ma dog le bites gare ko so k garnu parxa plz kehi salaa dinu hos thank you

    1. Clinic One says:

      Please get the Rabies vaccine for your child as soon as possible. Please call for vaccines & inquiries: 9861966614, 01-5400400, 9863393960.

  11. Ramesh says:

    Can i inject vaccine after the 2 days of dog bite pleez ans

    1. Clinic One says:

      Yes, you can get the vaccine but please get it as soon as possible.

      For vaccines & inquiries, please call us at 01-5400400, 9863393960.

  12. suraj joshi says:

    Namaste malai ghar ko dog le bite gareko cha.24 hrs pachi vaccine lagaye huncha?

    1. Clinic One says:

      Yes, you can. Please get the vaccine as soon as possible.

      For vaccination and inquiries, please call us at
      Jawalakhel: 01-5400400, 9861966614
      Suryabinayak: 01-6617401, 9851310113

  13. Sanjib says:

    Hello malai hijo ko 1/2 baje euta kukur le tokeko thiyo tyo kukur ko owner le tyo kukur lai hami le injection diyeko xau kei hunna vannu vako thiyo tyo kukur le tokeko thau bata blood niskeko thiyo ani 7/8 years aagadi pani euta kukur le tokeko thiyo tyo bela maile rabies ko injection lagai sakeko thiye aaile pani lagaunu parxa ki nai vannu hola

    And plz do fast reply it’s an EMERGENCY ??

    1. Clinic One says:

      We always suggest getting vaccinated ASAP after the bite because prevention has always been better than cure.
      So, please consult a healthcare professional and get vaccinated.
      For more inquiries: 01-5400400, 9861966614

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