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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do I Have To Take Anti-rabies Injections Again After 2-3 Months?

Dear Doctor, I was been bitten 3months ago by a stray cat, who is also our office pet for in weekday. It wasn't a proper bite, but a scratch with the teeth and I could see the pen line (think) blood. I had TT and 3 douse of anti-rabbies. Doctor said its not major case but its bester go for the anti-rabbles. After 2-3months, our office cat bite me again and the teeth just punctured the skin and few drops of blood oozed out. Its a very small dot punctured skin. Can you please help me.. What should I do? Do i have to go for anti-rabbies again? Many thanks
Tue, 8 Sep 2015
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  Anonymous's Response
's  Response
Hello,

Thank you for your question and welcome to Healthcare Magic. I read your query and I understand your concern.

Rabies post exposure profilaxis is an emergency and it should not be delayed. Profilaxis may be discontinued if the animal involved remains healthy for an observation period of 10 days.
In case of previously vaccinated persons, as your case is, the profilaxis differs.
First of all you should do a local treatment of the wound.
In this case there is no need for Anti rabies immunoglobuline.
You can follow one of these two schedules:
1. one dose on days 0 and 3. The dose is either 1 standard intra muscular dose (which may be 1 ml or 0.5 ml depending on vaccine type ) or one intradermal dose of 0.1 ml per site.
2. a 4-site (one visit only) intradermal PEP consisting of 4 injections of
0.1 mL distributed on each arm and thigh or suprascapular region on days 0.
You can talk to your doctor to make a good decision of which schedule to use.

Beside this i would recommend to vaccinate the cat if you can, as it spends some days with you.

Hope I helped with my answer. For further concerns or follow up questions, feel free to write again, I will be pleased to answer you again.

Take care,
Dr. Artiona

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Do I Have To Take Anti-rabies Injections Again After 2-3 Months?

Hello, Thank you for your question and welcome to Healthcare Magic. I read your query and I understand your concern. Rabies post exposure profilaxis is an emergency and it should not be delayed. Profilaxis may be discontinued if the animal involved remains healthy for an observation period of 10 days. In case of previously vaccinated persons, as your case is, the profilaxis differs. First of all you should do a local treatment of the wound. In this case there is no need for Anti rabies immunoglobuline. You can follow one of these two schedules: 1. one dose on days 0 and 3. The dose is either 1 standard intra muscular dose (which may be 1 ml or 0.5 ml depending on vaccine type ) or one intradermal dose of 0.1 ml per site. 2. a 4-site (one visit only) intradermal PEP consisting of 4 injections of 0.1 mL distributed on each arm and thigh or suprascapular region on days 0. You can talk to your doctor to make a good decision of which schedule to use. Beside this i would recommend to vaccinate the cat if you can, as it spends some days with you. Hope I helped with my answer. For further concerns or follow up questions, feel free to write again, I will be pleased to answer you again. Take care, Dr. Artiona