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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Anti Rabies Vaccination Sufficient After A Dog Bite?

Hi,
my husband was bitten by a german shepherd dog 2 days back.he was badly injured n bleeding from his left back where he got the bite.Immediately took him to the hospital.they gave him first aid treatmenta tetanus vaccine n an anti rabies vaccine named SII RABIVAX.they instructed the entire course to b completed as scheduled that is 0 day,3rd day,7th day,14th day n 28 th day.with no restriction on diet n prescribed DOLO 650 mg ..n advised to keep the wound open.in case of very high fever...we are not sure if the neighbor's dog that bit him is vaccinated or not coz he didnt show us the vaccine certificate.

pls let me know if something else needs to b done

is this treatment sufficient
Fri, 20 Jun 2014
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Infectious Diseases Specialist 's  Response

Hello,
Welcome to HCM,

Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite.

As your husband was bit by dog which was badly injured with bleeding from the biting site and immediately took him to the hospital and they gave him first aid treatment with tetanus vaccine and anti rabies vaccine and instructed to take the entire course. According to WHO it is categorized into Cat III.

Bandaging the wound is not advised according to WHO recommendations for the management of dog bite. For your condition I would suggest you to follow

1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.
2.Passive immunization with RIGs around the wound,if there is a severe bleeding from the site of bite stay suture can be put after administration of serum.
3.Oral antibiotic like Tab Augmentin, twice daily
4.Topical T-Bact ointment.
Thank you.
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Is Anti Rabies Vaccination Sufficient After A Dog Bite?

Hello, Welcome to HCM, Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. As your husband was bit by dog which was badly injured with bleeding from the biting site and immediately took him to the hospital and they gave him first aid treatment with tetanus vaccine and anti rabies vaccine and instructed to take the entire course. According to WHO it is categorized into Cat III. Bandaging the wound is not advised according to WHO recommendations for the management of dog bite. For your condition I would suggest you to follow 1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28. 2.Passive immunization with RIGs around the wound,if there is a severe bleeding from the site of bite stay suture can be put after administration of serum. 3.Oral antibiotic like Tab Augmentin, twice daily 4.Topical T-Bact ointment. Thank you.