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How Can Rabies Be Prevented After A Dog Bite?
Following sad incident happened with my 3 year old son in India:
1) Rabies infected dog bites on his right ear on 13Jun2017 at ~8:30pm.
2) The wound was washed with soap water then dettol and victim receives Tetanus vaccine approximately after ~30 minutes after the bite incident.
3) The rabies infected dog died on 14Jun2017.
4) Victim receives first dose of RabiPur anti-rabies vaccine on 14Jun2017 at ~3pm.
5) Victim receives Human Rabies Immune Globulin (HRIG) vaccine with help of body anesthesia on 14Jun2017 at ~10pm.
6) Victim receives second dose of anti-rabies vaccine on 17Jun2017 (3rd day).
7) Remaining doses of anti-rabies vaccine will be given on following days:
21Jun2017 (7th day).
28Jun2017 (14th day).
12Jul2017 (28th day).
15Sep2017 (62nd day).
All vaccinations mentioned above are done by medical professionals.
I understand that we have to cure this during initial period as there is no treatment after infection spreads into his nervous system, we are doing whatever
has been advised by doctors to prevent him from getting infected. Please advise me if there is anything else we can do to save our kid. Thanks!
Are there any tests possible to detect following:
a) Rabies virus is not active in his body.
b) HRIG given to him is effective and it is really working.
The HRIG was administered to victim after ~25 hours of the dog bite; are there any chances that he will be infected due to this 25 hours delay?
1) Rabies infected dog bites on his right ear on 13Jun2017 at ~8:30pm.
2) The wound was washed with soap water then dettol and victim receives Tetanus vaccine approximately after ~30 minutes after the bite incident.
3) The rabies infected dog died on 14Jun2017.
4) Victim receives first dose of RabiPur anti-rabies vaccine on 14Jun2017 at ~3pm.
5) Victim receives Human Rabies Immune Globulin (HRIG) vaccine with help of body anesthesia on 14Jun2017 at ~10pm.
6) Victim receives second dose of anti-rabies vaccine on 17Jun2017 (3rd day).
7) Remaining doses of anti-rabies vaccine will be given on following days:
21Jun2017 (7th day).
28Jun2017 (14th day).
12Jul2017 (28th day).
15Sep2017 (62nd day).
All vaccinations mentioned above are done by medical professionals.
I understand that we have to cure this during initial period as there is no treatment after infection spreads into his nervous system, we are doing whatever
has been advised by doctors to prevent him from getting infected. Please advise me if there is anything else we can do to save our kid. Thanks!
Are there any tests possible to detect following:
a) Rabies virus is not active in his body.
b) HRIG given to him is effective and it is really working.
The HRIG was administered to victim after ~25 hours of the dog bite; are there any chances that he will be infected due to this 25 hours delay?
Tue, 22 Aug 2017
Hello, there is a very small risk initially due to the delay since bite is of major bite category. but incubation period is variable in rabies. sometimes it is more than 4-5 months also.So given at any time within incubation period is ok. since 4 days has passed after giving immunoglobulin it is unlikely to get the disease.But remember sooner the immunoglobulin better , without any delay.
What has been done already regarding this problem is optimal. You have been given immunoglobulins and ARV also. continue with the ARV schedule.
Hope this helps. thank you
What has been done already regarding this problem is optimal. You have been given immunoglobulins and ARV also. continue with the ARV schedule.
Hope this helps. thank you
I find this answer helpful
Hi,
Thanks for using HCM for the health concern. I am sorry to read the query... & can understand your concern.
*The incubation period for the disease for rabies varies from days to month. In this case it is likely to be shorter... still it's good that though 25 hours late- everything possible has been done to prevent infection.
Even if after 25 hours after the bite... the vaccine would act to prevent , provided the disease has not started affecting victim's body.
Disease can be tested by skin / hair root biopsies or testing of serum/ saliva for presence of viruses in tissue
Effectiveness of HRIG can be confirmed by detecting specific antibodies in blood... it is sure to prevent provided the disease has not started being active....which is possible to great extent. So be positive & careful & attentive.....observation by repeated testing & needful intervention by specific drugs as per expert advise would be the management.
Wishing for quick recovery,
Thanks
Thanks for using HCM for the health concern. I am sorry to read the query... & can understand your concern.
*The incubation period for the disease for rabies varies from days to month. In this case it is likely to be shorter... still it's good that though 25 hours late- everything possible has been done to prevent infection.
Even if after 25 hours after the bite... the vaccine would act to prevent , provided the disease has not started affecting victim's body.
Disease can be tested by skin / hair root biopsies or testing of serum/ saliva for presence of viruses in tissue
Effectiveness of HRIG can be confirmed by detecting specific antibodies in blood... it is sure to prevent provided the disease has not started being active....which is possible to great extent. So be positive & careful & attentive.....observation by repeated testing & needful intervention by specific drugs as per expert advise would be the management.
Wishing for quick recovery,
Thanks
I find this answer helpful
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