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Suggest Treatment For A Dog Bite While On ARV Vaccination

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Posted on Sat, 31 Dec 2016
Question: Hello doctor I have Few Queries about Rabies.
1). If a Dog Bite a person During the vaccination of ARV Than what to do? (During a vaccination means after 2nd vaccine or third vaccine) Should that person start the vaccination again?

2). If a Dog Bite a person after 5 days of His 2 Booster doses( day 0 and day 3) (person is pri-vaccinated 17 months before)than what a person should do? should he take vaccine again or what??

Thanks in advanced.
doctor
Answered by Dr. Vaddadi Suresh (2 hours later)
Brief Answer:
MANAGED BASED ON THE PHYSICIANS EXPERTISE

Detailed Answer:
Hi, welcome here.
1. In this case, you can continue routine schedule with out the need to restart.
2. In this case, practically you don't need further vaccines as antibodies would have developed by then.
(REMEMBER, THESE ARE HYPOTHETICAL ISSUES AND ARE MANAGED BASED ON THE PHYSICIANS EXPERIENCE. STRICT GUIDELINES MAY NOT EXIST.)
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Vaddadi Suresh (53 minutes later)
Thank You Doctor for Reply.
Situation is like that.
I took My First Vaccine on 3rd December and Second vaccine on 6th december 3rd vaccine on 10th december and mistakenly because of my Ignorance I took one more vaccine on 11 december.

0 day( 3rd december):- First vaccine
3rd day(6 december):- Second Vaccine
7th day(10th december):- Third Vaccine
8th Day(11 december):- Forth vaccine(Mistakenly I took it)

But on 8th day(11 December) I took vaccine at 2 pm but after 4-5 hours(arround 7 pm) I got again Exposure to Rabies( Dog lick my scratch).

I took 4th vaccine on a wrong date (11 december), So Now I will take 4th vaccine again on 17 December and Fifth Vaccine on 31 december.

is this right schedule?? pls guide...

My Question are:-

1. as I took 4th vaccine on wrong date. will it cause any bad effect? is it okii to take 4th vaccine on 17 december now??

2. Doctor since Im expose to rabies on 11 December again after 5-6 hours of vaccine on the same day. So what should I do now?? Should I continue for same schedule even after new exposure on 11 december??

Or I should start vaccination from the begining??


pls Guide... advice...

sorry for my Bad English. I hope You understand me...


doctor
Answered by Dr. Vaddadi Suresh (28 minutes later)
Brief Answer:
dont panic

Detailed Answer:
HI,
I UNDERSTAND YOUR CONCERN.
1. As you have taken a vaccine earlier (not delayed), dont panic. It wont have any bad effect. You have to take the fourth dose as scheduled.(17th dec)

2. You do not have to start over again as you are licked in the middle of the schedule, as you will start producing antibodies, well before the virus replicates and harm you. (sometimes it may take months and years also for the virus to manifest )
A SIMPLE NOTE: If the dog is healthY after 10th day of bite, it is not a rabied dog. So also keep a watch on the dog, if it is healthy, you are not infected.
HOPE I AM CLEAR.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Vaddadi Suresh (46 hours later)
Thank you doc for your reply.
Doc,
1). Is there any test for check the Rabies Antibody Titer Test in human?? Pls explain this Test....
Is this test is necessary for everyone or its necessary in special cases??
After how many days of Rabies Vaccination this test can be done? can this test be done after 3 vaccines of rabies or after 5 vaccination of rabies??
pls explain....

Thank you Doc...
And thank you healthcare Magic who made medical stuff so easy....
doctor
Answered by Dr. Vaddadi Suresh (38 minutes later)
Brief Answer:
done where there is no clarity

Detailed Answer:
Hi,
Rabies antibody estimation test is done where there is no clarity regarding the previous immunizations. Like if some one had vaccine 3 years ago, we don't know whether he still has immunity in him or not. Antibody titres in such individuals if is more than 0.5 IU/dL, then it implies that he still has good immunity and hence do not require further vaccines if there is a fresh dog bite. Lesser titres indicate that the previous immunity is insufficient, and hence he needs 2 booster doses.
In your case, it is not required, as you already took vaccines recently, anyway, they are going to be adequate.
Hope this is clear.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Vaddadi Suresh

Internal Medicine Specialist

Practicing since :2003

Answered : 963 Questions

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Suggest Treatment For A Dog Bite While On ARV Vaccination

Brief Answer: MANAGED BASED ON THE PHYSICIANS EXPERTISE Detailed Answer: Hi, welcome here. 1. In this case, you can continue routine schedule with out the need to restart. 2. In this case, practically you don't need further vaccines as antibodies would have developed by then. (REMEMBER, THESE ARE HYPOTHETICAL ISSUES AND ARE MANAGED BASED ON THE PHYSICIANS EXPERIENCE. STRICT GUIDELINES MAY NOT EXIST.)