Thanx for writing to us.
As you have already taken a full course of Anti Rabies Vaccine(ARV) ,the antibody titres will be sufficient to combat any exposure with animal bites, but any wild animal bite should be treated as Fresh Rabies exposure..(WHO and DGHS -India)
for previously vaccinated
persons-- As Per WHO guidelines and DGHS guidelines India,
Managing re-exposure following post-exposure treatment with TCV(Tissue Culture Vaccine): If re-exposed (again bitten),
persons who have previously received full post-exposure prophylaxis
either by IM or ID route) with a potent cell-culture vaccine should now be given
only two booster doses, intramuscularly (0.5ml/1ml)/intra-dermally (0.1 ml at
1 site) on days 0 and 3. Proper wound toilet should be done. Treatment with
RIG (Rabies Immuno globulin
)is not necessary.
Persons who have previously received full post-exposure treatment with NTV should be
treated as fresh case and may be given treatment as per merits of the case.
After thorough washing and drying the wound,
any one of the available chemical agents should be applied viz Povidone
), Alcohol, Chloroxylenol
(Dettol), Chlorhexidine Gluconate
Cetrimide solution (Savlon - in appropriate recommended dilution), etc.
In addition pls do not apply irritants (turmeric/chalk/local therapies)on the wound area.
Inj Tetanus Toxoid
0.5 ml IM on deltoid Area is required.
I have given above the WHO guidelines regarding the management.
Kindly follow up the protocol with your MD please.
Wishing you a quick recovery,
Dr Lt Cdr ASN Bhushan,