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How Effective Is Rabipur Shot When Given Within 10 Mins Of Dog Bite?

Posted on Tue, 17 Mar 2015

Question: My 5 year old kid was bitten by a stray dog on Saturday i.e. on 21st of February.. immediately within 10 min we were in a hospital where they have cleaned the wound and gave TT and Rabipur shot (She was heavily bleeding before treatment. I was asked by the doctor to observe the dog(5-6 month old), but unfortunately the dog died as some vehicle hit it, according to my explanation how it happened my doctor confirmed that its a provoked bite. I went and saw the dead dog and I did not find any abnormality, it seems to be normal

1. Our doctor gave the TT and Rabipur in the gluteal region , is that a concern?
2. How effective is Rabipur, I read few articles over Internet that Rabipur failed in some cases?
3. Are there any more precautions I need to take apart from completing the Rabipur course?
4. Also please suggest me if I can paralelly use homeopathy?
I know I have lot of doubts, but please help me as I am very much worried.

Answered by Dr. Pankaj Borade (2 hours later)

Brief Answer:
FOLLOW A COMPLETE DOSING SCHEDULE

Detailed Answer:
dear,
Welcome to HCM
I understand the concern and stress you must be through.
You have nicely put up your query, thanks.
well. the doctor did the correct thing by giving a dose of TT and Rabipur vaccine. Generally a three dose schedule is followed in case of grade I and five dose schedule in grade II bite. Bleeding from wound is suggestive of grade III bite and hence a five doses(day 0,3,7,14,28) schedule is required.
Rabipur is very effective, if properly stored, correctly and timely administered it can be completely effective.
No specific precaution required to be followed, besides any other incidents of bite by that same dog can be explored into. Look out for general symptoms of flu, like fever, etc in your daughter. COMPLETE THE SCHEDULE DOSING as advised.
Homeopathy has limited role in this, not recommended.

provoked bite incident goes against rabies in dog.

welcome for further suggestions
Regards,
Dr Pankaj Borade

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Pankaj Borade (2 days later)

Thank you sir, I still have a doubt... lot of Internet information say in addition to Rabipure, immunoglbulin is also required. please suggest, my doctor did not tell about this... I am really worried.

Answered by Dr. Pankaj Borade (21 hours later)

Brief Answer:
immunoglobulin can be given

Detailed Answer:
Immunoglobulin can be given. However, its given mostly when there is very high risk involved such as confirmed evidence of dog bite from a rabid dog, or grade 3 bite.
If can effective when given upto within a week of bite.
Your treating doctor can be consulted regarding it.
Though giving only vaccine is also equally effective.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Pankaj Borade (38 minutes later)

Thank you sir, please see the attachment and let me know if it's superficial..

Answered by Dr. Pankaj Borade (36 minutes later)

Brief Answer:
grade III wound, immunoglobulin can be considered

Detailed Answer:
well, the pink part on the great toe is a nail polish and not wound, am I right? kindly clarify this.

In the centre there are marks of the dog bite. the wound does not appear to be deep.
Important things to consider here, that could alter the management are:
1) whether there was bleeding?
2) as the site is foot, it is a Grade III bite

If there was bleeding from this wound, then giving of immunoglobulin should be discussed and needs to be considered.
The risk being of allergy to it, therefore should be given after allergy testing and under observation.

welcome for further queries
Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D