Review Hepatitis B and tetanus immunization status
The transmission of blood borne pathogens (Hepatitis B, C, and HIV) following a bite wound in children is extremely unlikely
Post-exposure prophylaxis for Hepatitis B is recommended if the exposure to blood or body fluids was from an index case known to be hepatitis B antigen positive and the patient has not been previously immunized against Hepatitis B
If the Hepatitis B status is unknown, both children should receive the HBV vaccine
If there is a particularly high risk situation regarding HIV transmission, consult ID
Uninfected bite wounds should not be cultured
For infected bite wounds, obtain a deep wound swab for Gram stain and culture