Same-Day Bite & Sting Care

Animal & Insect Bite Treatment in Elstree

Same-day assessment and treatment for animal bites, dog and cat bites, insect bites, stings, and tick bites. Wound cleaning, tetanus assessment per UKHSA guidance, and antibiotic decision-making per BNF — by experienced emergency medicine doctors. Adults and children aged 1 and over.

Adult consultation £110 · child consultation £95 (ages 1–15). For anaphylaxis (difficulty breathing, swelling of face or throat), severe allergic reactions, or rabies risk after a bite abroad — call 999or attend A&E directly.

When We Can Help

When Same-Day Bite or Sting Care Helps

Most bites and stings benefit from prompt cleaning, infection-risk assessment, and a tetanus check. Common presentations we see:

Dog or cat bite

Wound cleaning, infection-risk assessment, tetanus check, and antibiotic decision-making per BNF guidance. Cat bites have a particularly high infection rate and benefit from same-day care.

Animal scratch with broken skin

Even shallow scratches can introduce infection. Assessment, cleaning, and tetanus check where indicated.

Bee, wasp, or hornet sting with localised reaction

Painful, red, swollen sting site without systemic symptoms — pain management, antihistamine guidance, monitoring advice.

Tick bite

Safe tick removal if still attached, advice on Lyme disease risk, and a clear plan for what to watch for in the following weeks.

Suspected infected bite

Increasing pain, redness spreading, swelling, warmth, or discharge from a bite or scratch wound — examination, antibiotics if indicated, follow-up plan.

Bite from a child or adult

Human bites carry a high infection risk — same-day cleaning, antibiotic decision per BNF guidance, and tetanus assessment.

Important Safety Information

When You Should Go to A&E, Not Us

Some bite and sting presentations are emergencies. Call 999 or attend your nearest A&E if any of these apply:

Red flags — A&E directly:

  • Difficulty breathing, throat tightening, swelling of face/lips/tongue — anaphylaxis
  • Widespread rash, dizziness, or feeling faint after a sting
  • Severe bleeding that won't stop with direct pressure
  • Deep facial bites, especially in children
  • Bites involving tendons, joints, or suspected nerve injury
  • Bites from wildlife abroad (potential rabies exposure) — call 999 or A&E for urgent post-exposure prophylaxis
  • Immunocompromised patients (chemotherapy, transplant, severe diabetes) with any bite wound
  • Spreading red lines from a wound, fever, or feeling systemically unwell — possible sepsis

Tetanus and antibiotic decisions follow UKHSA Green Book guidance and the BNF bites treatment summary. If you’re unsure, call NHS 111.

Call 999

Your Visit

What Happens at Your Visit

Triage and history

We take a careful history: time and circumstance of the bite, the animal involved, any travel or wildlife exposure, your tetanus vaccination history, allergies, and any medical conditions affecting infection risk (immunocompromise, diabetes, splenectomy).

Examination and wound care

Examination of the bite or sting site for depth, foreign material, tendon or nerve involvement, and signs of early infection. Thorough irrigation under appropriate analgesia, careful wound exploration, and dressing.

Decision and plan

  • Wound cleaning and assessment: Thorough irrigation under appropriate analgesia, careful examination for foreign material, tendon or nerve involvement, and depth assessment.
  • Tetanus risk assessment: Review of vaccination status against UKHSA tetanus immunisation guidance — booster given on site if needed and clinically indicated.
  • Antibiotic decision per BNF: Co-amoxiclav is first-line for most bite wounds per BNF; allergy alternatives discussed. Antibiotic stewardship principles applied — antibiotics only where clinical evidence justifies them.
  • Travel-related rabies risk: If the bite occurred abroad in a country with rabies risk, immediate referral to A&E for post-exposure prophylaxis assessment per UKHSA guidance — we don't hold rabies vaccines on site.

Transparent Pricing

What It Costs and How Long It Takes

Consultation fee: £110 adult / £95 child (1–15) — covers full clinical assessment.

Tetanus booster (if needed): charged additionally at cost.

Antibiotic prescription (if clinically indicated): private prescription, dispensed via our on-site pharmacy at standard private prescription pricing.

Time on site: typically 30–60 minutes for assessment, cleaning, dressing, and discharge advice.

Insurance: detailed receipts provided for submission to your insurer.

After Your Visit

Aftercare and Follow-Up

You leave with a written discharge summary including:

  • The clinical findings and the reasoning for treatment decisions
  • Wound care instructions — how to clean, when to change dressings, when to leave it open
  • Antibiotic course details and what to do if side-effects occur
  • Tick-bite specific guidance (Lyme disease symptoms to watch for over the following weeks)
  • Red-flag symptoms that should bring you back: spreading redness, increasing pain, fever, pus, red lines from the wound, feeling unwell

For higher-risk wounds (cat bites, hand and facial bites, immunocompromised patients), we’ll often arrange a 48-hour review to check for early signs of infection.

Common Questions

Common Questions about Bite and Sting Care

Do I need a tetanus jab after a bite?

It depends on your vaccination history and the wound type. UK adults who completed primary vaccination plus boosters are usually protected for 10 years. We'll check your records if you have them, and give a booster on site if clinically indicated. If you don't know your vaccination history, we'll often give a booster anyway — the risk of tetanus is small but the consequence is severe.

Will I need antibiotics?

Not always. Antibiotic prescribing for bite wounds follows BNF guidance and depends on factors like the animal involved (cat bites and human bites carry higher infection risk), wound location (hand and facial bites are higher risk), depth, time since the bite, and your medical history. We follow antimicrobial stewardship principles — antibiotics where clinically justified, not by default.

What about cat scratches and minor scratches?

Even minor scratches that break the skin can introduce infection — particularly cat scratches, which can transmit Bartonella (cat-scratch disease). Most are managed with thorough cleaning and observation. We'll assess and advise on what symptoms should bring you back. If you have a fever or swollen lymph nodes in the days after a scratch, that's worth getting checked.

How do you decide if a bite wound is infected?

Clinical signs — increasing pain that's disproportionate to the wound, spreading redness, warmth, swelling, discharge, or fever — point to infection. Examination plus a blood test (if indicated) usually answers it definitively. Most early bite wounds aren't yet infected when we see them; the question is whether infection risk is high enough to justify prophylactic antibiotics.

I was bitten abroad — is rabies a concern?

If the bite occurred in a country with rabies risk (most of Asia, Africa, and parts of South America — see UKHSA travel guidance), yes — and post-exposure prophylaxis is time-critical. We don't hold rabies vaccines or immunoglobulin on site. We'll refer you immediately to A&E or a designated travel-medicine service, with full clinical documentation, so the prophylaxis pathway can start without delay. If you've been bitten by wildlife abroad in the last few weeks, contact A&E or NHS 111 now, even before our consultation.

Do you treat children's bites?

Yes — children aged 1 and over. Bites in children are common (dogs, the family cat, playground bites) and the principles are the same: clean thoroughly, assess infection risk, check tetanus status, decide on antibiotics. Our doctors are experienced in paediatric urgent care and our team is trained to keep children calm during examination and treatment.

Walk In or Book Online

Same-Day Bite and Sting Treatment

Our clinicians are GMC-registered emergency medicine doctors. We’re CQC registered and operate as part of Centennial Medical Care.

Emergency medicine doctors UKHSA + BNF guidance CQC registered

Open seven days: Mon–Fri 8am–8pm · Sat–Sun 9am–6pm

Centennial Park, Centennial Ave, Elstree, Borehamwood WD6 3FG · Free on-site parking

Last reviewed: 5 May 2026

Need urgent care? We’re here to help.

Walk in 7 days a week or book online. Payment taken securely at the time of booking.

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