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Rabies Vaccination Process. Bitten By Dog, On Rabipur. Availability Of Immunoglobin?
Hello,
I have a question regarding rabies vaccination process, and i would really appreciate if someone could clear my doubts.
I have been bitten by a street dog here in New Delhi. I was bitten on my right leg, and there was slight bleeding, not very much but slight.. Almost half an hour after being bitten i was administered a dose of Rabipur vaccine as well as a tetanus shot. I have also gotten a second shot of Rabipur on day 3 and am on my way to receiving a full course of rabies shots on days 7, 14, and 28.
I am, however, worried about not getting the immunoglobulin. I have read on a few websites (CDC and WHO), that immunoglobulin is essential for Category III wounds. I am really really worried now. Those websites also mentioned that if someone has received previous post exposure treatment, then the immunoglobulin is not required. Well, i have been bitten by my pet dog twice before and both times i got full course of vaccine. But that was about 15 years ago. Does the "not receiving the immunoglobulin" bit applies to me as well?
I know it's a rather long story but i would really appreciate if someone could take time to address my doubts.
I have a question regarding rabies vaccination process, and i would really appreciate if someone could clear my doubts.
I have been bitten by a street dog here in New Delhi. I was bitten on my right leg, and there was slight bleeding, not very much but slight.. Almost half an hour after being bitten i was administered a dose of Rabipur vaccine as well as a tetanus shot. I have also gotten a second shot of Rabipur on day 3 and am on my way to receiving a full course of rabies shots on days 7, 14, and 28.
I am, however, worried about not getting the immunoglobulin. I have read on a few websites (CDC and WHO), that immunoglobulin is essential for Category III wounds. I am really really worried now. Those websites also mentioned that if someone has received previous post exposure treatment, then the immunoglobulin is not required. Well, i have been bitten by my pet dog twice before and both times i got full course of vaccine. But that was about 15 years ago. Does the "not receiving the immunoglobulin" bit applies to me as well?
I know it's a rather long story but i would really appreciate if someone could take time to address my doubts.
Tue, 23 Apr 2013
Hi,
Thank you for your query on Healthcare Magic.
I can understand your concern.
For WHO Category-3 dog bite wounds, both vaccine and anti rabies human immunoglobulin is recommended.
And complete schedule of 5 injections on 0, 3, 7, 14, and 28 will produce immunity to rabies virus and prevents rabies.
But the immunoglobulin will bind the rabies vaccine immediately and take care immediately after the bite.
Within 5 years of full schedule of rabies vaccination immunoglobulins are not required but after 5 years immunoglobulins are recommended in addition to rabipur vaccination if the wound fits into WHO category-3
Human anti rabies immunoglobulin can be taken within 7 days of your rabipur '0' dose injection and after 7 days it is not required.
I advise you to consult the Physician for the advise on immunoglobulins immediately.
Hope I have answered your query, if you have any clarification please let me know.
Regards.
Thank you for your query on Healthcare Magic.
I can understand your concern.
For WHO Category-3 dog bite wounds, both vaccine and anti rabies human immunoglobulin is recommended.
And complete schedule of 5 injections on 0, 3, 7, 14, and 28 will produce immunity to rabies virus and prevents rabies.
But the immunoglobulin will bind the rabies vaccine immediately and take care immediately after the bite.
Within 5 years of full schedule of rabies vaccination immunoglobulins are not required but after 5 years immunoglobulins are recommended in addition to rabipur vaccination if the wound fits into WHO category-3
Human anti rabies immunoglobulin can be taken within 7 days of your rabipur '0' dose injection and after 7 days it is not required.
I advise you to consult the Physician for the advise on immunoglobulins immediately.
Hope I have answered your query, if you have any clarification please let me know.
Regards.
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Anonymous's Response
Anonymous's
Response
Hello Gaurav,
Welcome at HCM.
I have read your question completely.
It looks that you have been bitten by a street dog & is taking treatment for that.
As per guidelines of WHO there is need of immunoglobulin injection in grade 3 wounds.
Immunoglobulin as well as vaccines can also be refrained with healthy dog or cat or which do not shows signs of rabies after a watchful period of 10 days-
http://www.who.int/rabies/human/generalconsid/en/
Please check 3rd para in above reference.
So in your case please check about the symptoms in that dog & also check about occurence of rabid cases in that area recently.
If you ar unable to do that or if it is not possible then you should not await & should have immunoglobulin injections.
Hope this will help you.
Welcome at HCM.
I have read your question completely.
It looks that you have been bitten by a street dog & is taking treatment for that.
As per guidelines of WHO there is need of immunoglobulin injection in grade 3 wounds.
Immunoglobulin as well as vaccines can also be refrained with healthy dog or cat or which do not shows signs of rabies after a watchful period of 10 days-
http://www.who.int/rabies/human/generalconsid/en/
Please check 3rd para in above reference.
So in your case please check about the symptoms in that dog & also check about occurence of rabid cases in that area recently.
If you ar unable to do that or if it is not possible then you should not await & should have immunoglobulin injections.
Hope this will help you.
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