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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Not Taking Serum Dose After A Dog Bite Cause Any Problem?

Dear
on 11th of feb 2012 dog of ma landlord had bited me which is a street dog but since last 3 year , dog is living with ma landlord,but they had not given any vaccination to that dog., blood had not came out , but it is clearly visible.on the same day i went to the hospital and taken a injection of Rabipur & TT i.e on 11th Feb, i had taken the 2nd dose on 14th feb, doctor had refered me to another hospital for serum injection, but mistakenly i had not heard within the 7 days, today when i went to that hospital Dr said me that, time has crossed, he cannot inject that serum after 7 days. today i have taken the 3rd dose of rabipur.
now i am worried of not taking that serum.
is there a chances of any problem.
Thanks & Regards
Smreeti
Thu, 26 Jun 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

As you were bit by a street dog which was not vaccinated against rabies. As you have mentioned in your history you have been given three doses of vaccine on days 0,3, and 7.

Your concern is you have not given anti rabies serum. As your doctor has referred you to the higher center for the purpose of getting anti rabies serum. But the doctor has denied you the same quoting that you don't require the serum after 7 days of dog bite.

If it is a Cat III bite (If Bleeding from that site), According to WHO guidelines it is mandatory to take anti rabies serum upto 15 days of bite. So I would have given the anti rabies serum on day 7 also.
Thank you.
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Can Not Taking Serum Dose After A Dog Bite Cause Any Problem?

Hello, Welcome to HCM, As you were bit by a street dog which was not vaccinated against rabies. As you have mentioned in your history you have been given three doses of vaccine on days 0,3, and 7. Your concern is you have not given anti rabies serum. As your doctor has referred you to the higher center for the purpose of getting anti rabies serum. But the doctor has denied you the same quoting that you don t require the serum after 7 days of dog bite. If it is a Cat III bite (If Bleeding from that site), According to WHO guidelines it is mandatory to take anti rabies serum upto 15 days of bite. So I would have given the anti rabies serum on day 7 also. Thank you.