rabies vaccine s needed as a prophylaxis even though ur dog is vaccinated Rabies
Post-Exposure Prophylaxis for
Healthy, Immunocompetent Persons, Including Pregnant Women
* Indicated if last
tetanus vaccine was more than 5 years prior to exposure
† Completed pre- or post-exposure regimen of human diploid cell vaccine (HDCV) or purified chick embryo cell
vaccine (PCEC) within the past 20 years, or received another vaccine with documented serum titer corresponding to
complete neutralization at >1:5 serum dilution (or its equivalent, approximately 0.1-0.2 IU/mL) by the rapid fluorescent
focus inhibition test (RFFIT
Excerpt form “Animal Bites and Rabies Risk: A Guide For Health Professionals” 8/2014
Vaccination
Status Treatment
Dosage/Administration
Guidelines for All Ages
Day of
Regimen
Not Previously
Vaccinated
• Wound cleansing
• Tetanus toxoid
booster*
• Human rabies
immune globulin
(HRIG)
• 20 IU/kg body weight
• Infiltrate HRIG into and
around the wound
• Remaining HRIG given
IM at a site distant from
the vaccination site
Day 0
(HRIG can be
given
up to day 7)
• Rabies vaccine • Four 1.0 mL doses,
given IM
Adults/older children:
deltoid area
Young children:
anterolateral thigh
Never in gluteals
Days 0, 3, 7, 14
Previously
Vaccinated†
• Wound cleansing
• Tetanus toxoid
booster*
• Rabies vaccine • Do not give HRIG
• Two 1.0 mL doses, given
IM
Adults/older children:
deltoid area
Young children:
anterolateral thigh
Never in gluteals
Days 0, 3