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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dog Bite

Hey doctor, On the night of 20th (around 9pm) i got bit by a stray dog. I washed the wound and took tetanus and rabies vaccine (rabipur) on the same night. That doctor priscribed me to take 5 rabies shot according to schedule provided by him and he said there was no need of anti rabies serum ( rabies immunoglobulin) but i took second opinion from another doctor and he told me to not take risk and get the immunoglobulin shot. So today on 22nd morning I got the immunoglobulin shot and also heard from a nurse that it should be taken before 24 hours of bite and now I m afriad that i got late and would get rabies. Please help me with my doubs, I m really anxious right now.
Fri, 17 Jul 2015
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General & Family Physician 's  Response
Thank you for asking Healthcare majic.
My name is Dr Ehsan Ullah &
I have gone through your query.

you have mentioned that you had Rabies vaccine on 20th and at 22nd after consulting another Physician , you had immunoglobulin shot.

Your main worry or concern is that
you have been told by some Nurse that it should be taken before 24 hours of bite.

Rabies immunoglobulin can be given by two ways;

preferably

it should be given concomitantly with the Vaccine .

but

it Can be given thru 7th day after first dose of vaccine.

and it's not mandatory to use immunoglobulin in every patient who had dog bite....

World health organization (WHO) recommends its use in Category III patients only.

here is the statement of WHO
"Rabies immunoglobulin (RIG) should be given for all category III exposures, irrespective of the interval between exposure and beginning of treatment"

The indication for post-exposure vaccination with or without rabies immune globulin depends on the type of contact with the rabid animal.

Types of contact are:

category I – touching or feeding animals, licks on the skin...it needs No treatment

category II - nibbling of uncovered skin, minor scratches or abrasions without bleeding, licks on broken skin ( Needs Rabies Vaccination)

category III – single or multiple transdermal bites or scratches, contamination of mucous membrane with saliva from licks; exposure to bat bites or scratches (Vaccination and Immunoglobulin)


Hope this may help you. Kindly write a review & Let me know if anything not clear.
Thanks.
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Suggest Treatment For Dog Bite

Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. you have mentioned that you had Rabies vaccine on 20th and at 22nd after consulting another Physician , you had immunoglobulin shot. Your main worry or concern is that you have been told by some Nurse that it should be taken before 24 hours of bite. Rabies immunoglobulin can be given by two ways; preferably it should be given concomitantly with the Vaccine . but it Can be given thru 7th day after first dose of vaccine. and it s not mandatory to use immunoglobulin in every patient who had dog bite.... World health organization (WHO) recommends its use in Category III patients only. here is the statement of WHO Rabies immunoglobulin (RIG) should be given for all category III exposures, irrespective of the interval between exposure and beginning of treatment The indication for post-exposure vaccination with or without rabies immune globulin depends on the type of contact with the rabid animal. Types of contact are: category I – touching or feeding animals, licks on the skin...it needs No treatment category II - nibbling of uncovered skin, minor scratches or abrasions without bleeding, licks on broken skin ( Needs Rabies Vaccination) category III – single or multiple transdermal bites or scratches, contamination of mucous membrane with saliva from licks; exposure to bat bites or scratches (Vaccination and Immunoglobulin) Hope this may help you. Kindly write a review & Let me know if anything not clear. Thanks.