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Hello Doctor, Happy New Year. I Was Scratched By Street

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Posted on Tue, 28 Jan 2020
Question: Hello Doctor,

Happy New year.
I was scratched by street dog on 30th Night and went to Safdarjung hospital emergency.
They have given Abhyapur ARV in arm. I am worried as the doctor took the medicine from the container which was I guess use to preserve ice ( what I can think off) and lots of already Pre- filled injections were there. I am worried how that will maintain the accuracy of the vaccination as it was clearly written on the Medicines that it should be consumed immediately after reconstitution.

Also my second day dose is tomorrow- can you please tell me can I take from local store near my house and get it done by any doctor nearby, I live in XXXXXXX Or should I got back to XXXXXXX I am afraid how local shops keeps this medicine safe in fridge, I have many thoughts like what if they are not maintaing proper temperature of the vaccination in Fridge or what if they are not keeping it proper and I'll die of rabies. Please advise.

Thanks XXXXXXX
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Follow up: Dr. Chakravarthy Mazumdar (0 minute later)
Hello Doctor,

Happy New year.
I was scratched by street dog on 30th Night and went to Safdarjung hospital emergency.
They have given Abhyapur ARV in arm. I am worried as the doctor took the medicine from the container which was I guess use to preserve ice ( what I can think off) and lots of already Pre- filled injections were there. I am worried how that will maintain the accuracy of the vaccination as it was clearly written on the Medicines that it should be consumed immediately after reconstitution.

Also my second day dose is tomorrow- can you please tell me can I take from local store near my house and get it done by any doctor nearby, I live in XXXXXXX Or should I got back to XXXXXXX I am afraid how local shops keeps this medicine safe in fridge, I have many thoughts like what if they are not maintaing proper temperature of the vaccination in Fridge or what if they are not keeping it proper and I'll die of rabies. Please advise.

Thanks XXXXXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (23 hours later)
Brief Answer:
YOu can get it done at XXXXXXX

Detailed Answer:
Hi XXXXXXX

Happy New Year.

Sorry for a delayed reply. YOu should not worry about the efficacy of the vaccine you got yesterday. However if you have doubts I suggest you can get the further doses on Day 3, Day 7, Day 14 doses at XXXXXXX at any doctor whom you trust locally.
The vaccine is only stored in refrigirator or cold storage boxes only. This would still maintain the cold chain that is required by the vaccine to preserve the efficacy. So it is common to find the vaccines in any local store in a fridge or ice storing containers.

Please do not doubt the efficacy of the just given dose.

All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Chakravarthy Mazumdar (0 minute later)
Brief Answer:
YOu can get it done at XXXXXXX

Detailed Answer:
Hi XXXXXXX

Happy New Year.

Sorry for a delayed reply. YOu should not worry about the efficacy of the vaccine you got yesterday. However if you have doubts I suggest you can get the further doses on Day 3, Day 7, Day 14 doses at XXXXXXX at any doctor whom you trust locally.
The vaccine is only stored in refrigirator or cold storage boxes only. This would still maintain the cold chain that is required by the vaccine to preserve the efficacy. So it is common to find the vaccines in any local store in a fridge or ice storing containers.

Please do not doubt the efficacy of the just given dose.

All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chakravarthy Mazumdar (36 hours later)
Thank you Doctor.
Actually what happened at Safdarganj Hospital is they have around 100 or 200 prefilled vaccination in syringe already kept in cold container which we use to keep the things cold.
Can you please clear on below points?
1. Is this medically correct to reconstitute the medicine and kept them prefilled in the container.
Wouldn't reconstitution of rabies vaccination should only be done when it should be used.


2. At XXXXXXX Govt hospital when Nurse gave me TT and Rabies injection I didn't see her removing air bubble from the needle.
I requested her to please check the air bubble; she said small bubble would not hurt if any. I am very afraid after this incident.
Wouldn't air embolism will be dangerous. I read any air embolism can cause stroke or heart attack. It's almost 24 hours past this incident, Please guide me how long after air embolism if no symptoms have occurred, we can say we are safe 100%.
I'll go to private clinic now as I am not comfortable with Govt Hospital staff careless attitude.
Thank you.
Please advice.
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Follow up: Dr. Chakravarthy Mazumdar (0 minute later)
Thank you Doctor.
Actually what happened at Safdarganj Hospital is they have around 100 or 200 prefilled vaccination in syringe already kept in cold container which we use to keep the things cold.
Can you please clear on below points?
1. Is this medically correct to reconstitute the medicine and kept them prefilled in the container.
Wouldn't reconstitution of rabies vaccination should only be done when it should be used.


2. At XXXXXXX Govt hospital when Nurse gave me TT and Rabies injection I didn't see her removing air bubble from the needle.
I requested her to please check the air bubble; she said small bubble would not hurt if any. I am very afraid after this incident.
Wouldn't air embolism will be dangerous. I read any air embolism can cause stroke or heart attack. It's almost 24 hours past this incident, Please guide me how long after air embolism if no symptoms have occurred, we can say we are safe 100%.
I'll go to private clinic now as I am not comfortable with Govt Hospital staff careless attitude.
Thank you.
Please advice.
doctor
Answered by Dr. Chakravarthy Mazumdar (18 hours later)
Brief Answer:
Not serious.

Detailed Answer:
Hi,

1. Some vaccines come in prefilled syringes. Have you taken pic of that vaccine? However maintaining cold chain is more important.
2. The incident at XXXXXXX was safe and would not cause air embolism. it is too minute volume to cause air embolism. the amount of air to cause air embolism should be too large.

so both the above incidents are not dangerous. But they seem to be worrying you and you are too anxious. you need counseling specially. please meet a counsellor.

Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Chakravarthy Mazumdar (0 minute later)
Brief Answer:
Not serious.

Detailed Answer:
Hi,

1. Some vaccines come in prefilled syringes. Have you taken pic of that vaccine? However maintaining cold chain is more important.
2. The incident at XXXXXXX was safe and would not cause air embolism. it is too minute volume to cause air embolism. the amount of air to cause air embolism should be too large.

so both the above incidents are not dangerous. But they seem to be worrying you and you are too anxious. you need counseling specially. please meet a counsellor.

Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Chakravarthy Mazumdar (38 hours later)
Thank you Doctor, I know I got some anxiety disorder after that incident. I watched some videos online for Rabies patient and got scared from disease.
I apologize for asking to many questions but I guess that is the only platform where I can share my feeling and thoughts which are making me worrying.

Could you please help in following things more.

1. I got cold and cough recently, Is it safe to continue on Rabies vaccination while on Cold and cough. I don't have fever though.

2. As there are many brands and manufactures of Rabies Vaccination, Can It be possible due to human/technical errors that virus which supposed to be inactive in rabies vaccination can remain active and can actually expose patient to rabies virus. there are many fake medicines also in market.

Thanks
default
Follow up: Dr. Chakravarthy Mazumdar (0 minute later)
Thank you Doctor, I know I got some anxiety disorder after that incident. I watched some videos online for Rabies patient and got scared from disease.
I apologize for asking to many questions but I guess that is the only platform where I can share my feeling and thoughts which are making me worrying.

Could you please help in following things more.

1. I got cold and cough recently, Is it safe to continue on Rabies vaccination while on Cold and cough. I don't have fever though.

2. As there are many brands and manufactures of Rabies Vaccination, Can It be possible due to human/technical errors that virus which supposed to be inactive in rabies vaccination can remain active and can actually expose patient to rabies virus. there are many fake medicines also in market.

Thanks
doctor
Answered by Dr. Chakravarthy Mazumdar (21 hours later)
Brief Answer:
Answers

Detailed Answer:
No problem. I can clear your questions.

1. I got cold and cough recently, Is it safe to continue on Rabies vaccination while on Cold and cough. I don't have fever though.

=== YES, You can take Rabies vaccination while on cold and cough.

2. As there are many brands and manufactures of Rabies Vaccination, Can It be possible due to human/technical errors that virus which supposed to be inactive in rabies vaccination can remain active and can actually expose patient to rabies virus. there are many fake medicines also in market.

== Vaccine market has deep quality inside unlike other medicines. So all the major brands of Rabies vaccine would certainly maintain quality and standards. The virus cannot be active in the vaccine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Chakravarthy Mazumdar (0 minute later)
Brief Answer:
Answers

Detailed Answer:
No problem. I can clear your questions.

1. I got cold and cough recently, Is it safe to continue on Rabies vaccination while on Cold and cough. I don't have fever though.

=== YES, You can take Rabies vaccination while on cold and cough.

2. As there are many brands and manufactures of Rabies Vaccination, Can It be possible due to human/technical errors that virus which supposed to be inactive in rabies vaccination can remain active and can actually expose patient to rabies virus. there are many fake medicines also in market.

== Vaccine market has deep quality inside unlike other medicines. So all the major brands of Rabies vaccine would certainly maintain quality and standards. The virus cannot be active in the vaccine.
Note: For further follow up on related General & Family Physician Click here.

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

General & Family Physician

Practicing since :2004

Answered : 2242 Questions

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Hello Doctor, Happy New Year. I Was Scratched By Street

Hello Doctor, Happy New year. I was scratched by street dog on 30th Night and went to Safdarjung hospital emergency. They have given Abhyapur ARV in arm. I am worried as the doctor took the medicine from the container which was I guess use to preserve ice ( what I can think off) and lots of already Pre- filled injections were there. I am worried how that will maintain the accuracy of the vaccination as it was clearly written on the Medicines that it should be consumed immediately after reconstitution. Also my second day dose is tomorrow- can you please tell me can I take from local store near my house and get it done by any doctor nearby, I live in XXXXXXX Or should I got back to XXXXXXX I am afraid how local shops keeps this medicine safe in fridge, I have many thoughts like what if they are not maintaing proper temperature of the vaccination in Fridge or what if they are not keeping it proper and I'll die of rabies. Please advise. Thanks XXXXXXX