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Dr. Andrew Rynne

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Do I need a second vaccination for rabies after being bitten twice ?

hi , i have been bitten by a dog in 1998 , then i got my vaccines , nw a stray don tried to bite me and m afraid about rabies , wht should in do???? is there is any need to take another vaccination ? i am scared i have consulted with a doctor and as per him der is no need for another vaccination , please help me sunny mehta , 23 male, delhi ,india
Wed, 25 Jan 2012
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ENT Specialist 's  Response
1. If a stray dog tried to bite, but did not actually bite, you do not require another vaccination.
2. Vaccination for rabies gives immunity for two to three years. Thereafter you need to repeat vaccination if you have exposure again (post-exposure).
3. Regular prophylactic (pre-exposure)vaccination for rabies every three years in your case (with low risk of exposure) is not recommended.
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sunny mehta's  Response
THANKS sir, bt m not sure abt the bite there is a small ( 1 cm ) cut on my feet, nd i feel i think it is not a dog bite, i have consult wid some persons, and as per them it wont be a dog's bite. the location of bite is so awkward. i was on bike that time nd when i inspected the wound ( within 5 min) blood was dry and there was no sign of saliva and the cut was surrounded by some minor scartches
ENT Specialist Dr. Sumit Bhatti's  Response
1. If in doubt, do not hesitate to take a post-exposure rabies vaccination. This will require up to six intra muscular injections of 1 ml on days 0,3,7,14,28 and optional booster.

2. Remember to take a 0.5 ml Tetanus Toxoid intra muscular injection in addition.

3. Your bite is a Class II / III Type and you can go ahead with vaccination.

4. If you can identify the stray dog again and it is alive after 10 days since the incident, the chances of the dog being rabid is very low.
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