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Is Skipping Immunoglonulin Injection Post Dog Bite Dangerous?
Hi doctor,
I am a dog breeder,
A cutomer gave me an for adoption and mentioned me that the dog was vaccinated. On 23rd September 2011, a dog bit me on my index finger breaking away my index finger bone and with multiple wounds. (IN MEDICAL TERMS:- Lacerated wound over the distal IP joint of Index finger and distal part attached with only a 1 cm wide band of tissue and skin. Capillary refill on Index finger > 3 sess. - I have copied from the medical report they gave me) Immediately the same day late that night i got Rabipur Vaccination done. 2nd and 3rd vaccinations of repetitions were done on time. the 4th Vaccination got delayed by an week and the 5th vaccination also by an week. As the injury was deep and my index finger was almost hanging on moss or skin, they have also mentioned that only one vessel was intact. They had also advised to go for Immunoglubolin (6 vials), as i could not afford immunoglobulin ( 6 vials) i could not go for it. I got the surgery done and they placed a K-WIRE driven in retrograde function into the distal phalanx and then advanced into the middle phalanx across site (Medical term copied). Even now (26 Oct 2011) i am with stitches on around my Index finger. Sometimes even now it slightly pains. To talk about the dog we already got it Sedated the 2nd day as it became a threat to local people around there, so the question of dog being alive or dead or sick is not viable.
What i am more worried is:-
1. As i did not take immunoglonulin would it be a problem in future - how to avoid this problem with low cost.
2. As i did not take the last 2 vaccinations on proper time mentioned would it be a problem.
3. While taking vaccinations i was also consuming alcohol partly - Is there any risk in future.
Note: i have read ur other answer and felt like taking a booster vaccination on 90th day. Should it be the same Rabipur again.
Kindly let me know
Thanks for the reply in Advance
K. Rajan Killare
I am a dog breeder,
A cutomer gave me an for adoption and mentioned me that the dog was vaccinated. On 23rd September 2011, a dog bit me on my index finger breaking away my index finger bone and with multiple wounds. (IN MEDICAL TERMS:- Lacerated wound over the distal IP joint of Index finger and distal part attached with only a 1 cm wide band of tissue and skin. Capillary refill on Index finger > 3 sess. - I have copied from the medical report they gave me) Immediately the same day late that night i got Rabipur Vaccination done. 2nd and 3rd vaccinations of repetitions were done on time. the 4th Vaccination got delayed by an week and the 5th vaccination also by an week. As the injury was deep and my index finger was almost hanging on moss or skin, they have also mentioned that only one vessel was intact. They had also advised to go for Immunoglubolin (6 vials), as i could not afford immunoglobulin ( 6 vials) i could not go for it. I got the surgery done and they placed a K-WIRE driven in retrograde function into the distal phalanx and then advanced into the middle phalanx across site (Medical term copied). Even now (26 Oct 2011) i am with stitches on around my Index finger. Sometimes even now it slightly pains. To talk about the dog we already got it Sedated the 2nd day as it became a threat to local people around there, so the question of dog being alive or dead or sick is not viable.
What i am more worried is:-
1. As i did not take immunoglonulin would it be a problem in future - how to avoid this problem with low cost.
2. As i did not take the last 2 vaccinations on proper time mentioned would it be a problem.
3. While taking vaccinations i was also consuming alcohol partly - Is there any risk in future.
Note: i have read ur other answer and felt like taking a booster vaccination on 90th day. Should it be the same Rabipur again.
Kindly let me know
Thanks for the reply in Advance
K. Rajan Killare
Tue, 24 Feb 2015
Hello,
Welcome to HCM,
Rabies is a disease transmitted by dog bite which is 100% fatal but it is 100% preventable by proper and adequate treatment.
As you were bit by your dog which has led to bleeding from that site and you have applied some medicine over that, according to WHO it is categorized into Cat III which requires following treatment.
1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.
2.Passive immunization with RIGs around the wound.
3.Oral antibiotic like Tab Augmentin, twice daily
4.Topical T-Bact ointment.
Thank you.
Welcome to HCM,
Rabies is a disease transmitted by dog bite which is 100% fatal but it is 100% preventable by proper and adequate treatment.
As you were bit by your dog which has led to bleeding from that site and you have applied some medicine over that, according to WHO it is categorized into Cat III which requires following treatment.
1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.
2.Passive immunization with RIGs around the wound.
3.Oral antibiotic like Tab Augmentin, twice daily
4.Topical T-Bact ointment.
Thank you.
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