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Is Vaccination Required After A Dog Bite If The Dog Is Adequately Vaccinated?

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Posted on Mon, 6 Feb 2017
Question: Hi there. Story is my sister got scratched by our domestics dog 10 weeks ago. The dog was vaccinated on Jul 2016, when was very recently. Before that hes got vaccinated annually. my sister was scratched at the knee, and had a little bleeding wound. We went to see doctor on the 8th day after the exposure. However, she didnt get a rabies shots, as a doctor here told us that it's too late to take vaccine on 8th day (he said it shud be within 48 hours or so). Therefore, he suggested to make 10 days observation of the dog instead. it's been 10 weeks and the dog is still alive. However, since im hypochondriac severely, i want my sister to get a rabies shot as PEP. my questions are:
1.I've heard from some sources that it's still helping at this time in case the virus doesnt reach the spinal cord and nervous system and before the onset appears. Pls clarify if its true.
2. and if the PEP vaccination is needed in ur opinion.
3.my country is Thailand where rabies prevail. before the exposure, the dog was admitted in the hospital for 3 weeks as he's got Tracheal collapse (Pomeranian). that's why its trigger my anxiety if he's contracted rabies from there. However, the hospital was a very well managed one. Since then, it's been 3 months that he's back home. is he safe for rabies incubation period?
4.is rabies as Verorab or Rabipur safe. wont it cause human rabies if get shots?
thaks u
doctor
Answered by Dr. Geeta Sundar (1 hour later)
Brief Answer:
since the dog has been adequately vaccinated, there is no need of vaccine

Detailed Answer:
Hi welcome to HCM,
since the dog has been adequately vaccinated, there is no need of rabies vaccination.
And it could not have contacted rabies in the hospital since it was adequately vaccinated--yes he is safe.
Incubation period in humans varies from 9 days to several years.
In dogs--3-8 weeks
Rabipur or Verorab can occasionally cause severe side effects like irregular heartbeat, vision changes, dizziness and drowsiness, loss of feeling in the extremities, swelling of the face or tongue, difficulty breathing, paralysis, confusion, hallucinations and sensitivity to light. These are rare but why take a chance when the vaccine is not required.
If you are still anxious you can get the antibody level tested in the dog. This will allay your fears.
Regards

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Geeta Sundar (15 hours later)
thx u Dr XXXXXXX appreciate your answers.almost clear in my mind but just one more question. i've read from some sources over the internet it says that the post exposure prophylaxis human vaccine is still useful even it passes for 2 months if the rabies onset doesn't appear yet. I assume it still can build antibody and prevent rabies before the onset (just lets assume my sister has got rabies already). is it true?

i'll get the dog rabies antibody titer test too even its very expensive here. Thx u!!
doctor
Answered by Dr. Geeta Sundar (11 hours later)
Brief Answer:
absolutely right --even after 2 months vaccine is definitely of use

Detailed Answer:
Hi, absolutely right --even after 2 months vaccine is definitely of use although weak antibodies may have developed.
Regarding vaccination I think she does not require it. You can wait for the dog's antibody levels. However if you are really very anxious go ahead and give it to her.
But you can give her Rabies immunoglobulin which will boost her immunity.
Regards and all the best.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions

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Is Vaccination Required After A Dog Bite If The Dog Is Adequately Vaccinated?

Brief Answer: since the dog has been adequately vaccinated, there is no need of vaccine Detailed Answer: Hi welcome to HCM, since the dog has been adequately vaccinated, there is no need of rabies vaccination. And it could not have contacted rabies in the hospital since it was adequately vaccinated--yes he is safe. Incubation period in humans varies from 9 days to several years. In dogs--3-8 weeks Rabipur or Verorab can occasionally cause severe side effects like irregular heartbeat, vision changes, dizziness and drowsiness, loss of feeling in the extremities, swelling of the face or tongue, difficulty breathing, paralysis, confusion, hallucinations and sensitivity to light. These are rare but why take a chance when the vaccine is not required. If you are still anxious you can get the antibody level tested in the dog. This will allay your fears. Regards