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Can Anti Rabies Vaccination Be Given A Week After Exposure?

Posted on Mon, 3 Aug 2015

Question: i doubt that my 2 years old daughter caught by dog one week ago...so is it would be useful to give her vaccine now at this stage?

Answered by Dr. Tushar Kanti Biswas (47 minutes later)

Brief Answer:
Dog Bite-rabies vaccine

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
If the dog is a pet dog ,observe the dog for 10 days.
If your daughter has been bitten by the dog ,give two doses of purified inactivated rabies vaccine ( e.g inj Rabipur 1 ml i.m. deltoid area ) on days 0 (1st dose) & 3.
If the dog dies/escapes within 10 days from the date of bite ,complete the course i.e additional doses should be given on days 7 &14; a fifth dose on day 28 is no longer recommended.

Ideally, the first dose should be given as soon as possible after exposure; failing that, it should be given without further delay as in your daughter's case.

If the dog is a stray dog the dosage schedule is 0 (1st dose),3 , 7 & 14 days.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Tushar Kanti Biswas (6 hours later)

Ververy minute scratch is dere on legs...tht may b of mosquito bite

Answered by Dr. Tushar Kanti Biswas (10 hours later)

Brief Answer:
Minute scratch/es on legs ?Dog bite ? Mosquito bite

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Mosquito bite does not produce any scratch and it causes itching for sometime.
The itchy bumps caused by mosquito bite is unlikely to persist beyond days.
However the treating physician is the correct person to assess the nature of breach in the skin and take an appropriate decision regarding vaccination.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Tushar Kanti Biswas (2 days later)

The dog is normal for 10th day...bt instead v hve given daughter for protection side. 0 n 3rd day dose is given... n doctor is recommended 28th day dose also....is tht ok?
I also want to knw any side effects of dese vaccines in future if dog hs nt bitten

Answered by Dr. Tushar Kanti Biswas (2 hours later)

Brief Answer:
Rabies vaccine

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
If you have given purified inactivated rabies vaccine on days 0 (1st dose),3,7 & 14 and the dog is still alive,you can omit day 28th dose(booster dose).
Local reactions (pain, erythema, edema, and pruritus) and mild systemic reactions (fever, myalgias, headache, and nausea) are common; anti-inflammatory and antipyretic medications may be used, but immunization should not be discontinued.
One can develop serum-sickness–like reactions with intradermal booster doses.
Purified inactivated rabies vaccines (e.g. verorab,rabipur) otherwise are highly immunogenic and remarkably safe compared with earlier vaccines.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

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Above answer was peer-reviewed by : Dr. Prasad