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Are Four Doses Of VaxiRab Sufficient After A Dog Bite?
Question: Hello Doctor,
I have few Specified Questions..
1. I have bitten by a dog and i took VaxiRab(Zydus) on upper shoulder(deltoid). But I have missed 5th Dose... Is It Matter much if I have missed 5th Dose of vaxirab??
2. CDC Updated and telling (4-Dose) Vaccine Schedule for Postexposure Prophylaxis to Prevent Human Rabies have a look of link http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5902a1.htm
So, Is 4 days scheduale fine?? because in XXXXXXX we are taking 5 days schedule 0,3,7,14 and 28.....
I have few Specified Questions..
1. I have bitten by a dog and i took VaxiRab(Zydus) on upper shoulder(deltoid). But I have missed 5th Dose... Is It Matter much if I have missed 5th Dose of vaxirab??
2. CDC Updated and telling (4-Dose) Vaccine Schedule for Postexposure Prophylaxis to Prevent Human Rabies have a look of link http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5902a1.htm
So, Is 4 days scheduale fine?? because in XXXXXXX we are taking 5 days schedule 0,3,7,14 and 28.....
Brief Answer:
It is fine to have taken 4 doses
Detailed Answer:
Thanks for asking on HealthcareMagic.
Rabies is a lethal disease and the vaccines are taken in anticipation that the dog could have been rabid. But if the dog is traceable and if the dog has not died or shown any evident sickness within 10 days of the bite, the remaining doses of vaccination can be safely skipped on assumption that the dog was not rabid anyway.
The CDC recommendations of 4 dose post exposure prophylaxis is valid as the fifth dose does not seem to contribute to more favorable outcomes. So, you can safely follow the new 4 dose regimen and need not worry even though in XXXXXXX the 5 dose course is still in vogue.
Hope that answers your query.
Regards
It is fine to have taken 4 doses
Detailed Answer:
Thanks for asking on HealthcareMagic.
Rabies is a lethal disease and the vaccines are taken in anticipation that the dog could have been rabid. But if the dog is traceable and if the dog has not died or shown any evident sickness within 10 days of the bite, the remaining doses of vaccination can be safely skipped on assumption that the dog was not rabid anyway.
The CDC recommendations of 4 dose post exposure prophylaxis is valid as the fifth dose does not seem to contribute to more favorable outcomes. So, you can safely follow the new 4 dose regimen and need not worry even though in XXXXXXX the 5 dose course is still in vogue.
Hope that answers your query.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank You Doctor...
Im very much satisfied with the answer...
U make me understand complicated things in simple words..
thank you...
I have few Queries.. these are..
1. So doc U mean Im 100 percent safe?? and nothing to worry?
Coz WHO advice for 5 vaccine schedule and CDC advice for 4 vaccine schedule...
2. If Dog Died after 15 days or more,,, of bitting than can we consider that Dog was unable to sapread Rabies on the day of biting??
3. Is Dog's Normal or abnormal behaviour matter even if Dog died after 15 or more days?? or if Dog survive 15 days or more than we can consider that Dog was unable to spread Rabies on biting day 15 days before or more..
Thank u..
waiting of your response..
Im very much satisfied with the answer...
U make me understand complicated things in simple words..
thank you...
I have few Queries.. these are..
1. So doc U mean Im 100 percent safe?? and nothing to worry?
Coz WHO advice for 5 vaccine schedule and CDC advice for 4 vaccine schedule...
2. If Dog Died after 15 days or more,,, of bitting than can we consider that Dog was unable to sapread Rabies on the day of biting??
3. Is Dog's Normal or abnormal behaviour matter even if Dog died after 15 or more days?? or if Dog survive 15 days or more than we can consider that Dog was unable to spread Rabies on biting day 15 days before or more..
Thank u..
waiting of your response..
Brief Answer:
Do not go into too much theoretical propositions.
Detailed Answer:
Thanks for writing back.
1. Yes, you need not worry. You are safe with the 4 vaccines.
2. If the dog died 15 days after biting, I assume that the possibility of the dog being rabid at the time of the biting cannot be ruled out. So, in that case the risk remains. But with that risk in place, surely you would have been rabid (and dead) by now. Since that is not the case, I hope you need not worry about theoretical propositions.
3. The question is whether or not the dog was rabid during the bite, not whether the dog could have the capacity to spread rabies. If rabid, abnormal behavior is likely to have been expressed.
The thing that actually matters is whether you have actual info on the present status of the dog. If not, forget the junk of theoretical possibilities. If yes, share it with me so that I could guide you.
I hope that I could clarify your doubts.
Regards
Do not go into too much theoretical propositions.
Detailed Answer:
Thanks for writing back.
1. Yes, you need not worry. You are safe with the 4 vaccines.
2. If the dog died 15 days after biting, I assume that the possibility of the dog being rabid at the time of the biting cannot be ruled out. So, in that case the risk remains. But with that risk in place, surely you would have been rabid (and dead) by now. Since that is not the case, I hope you need not worry about theoretical propositions.
3. The question is whether or not the dog was rabid during the bite, not whether the dog could have the capacity to spread rabies. If rabid, abnormal behavior is likely to have been expressed.
The thing that actually matters is whether you have actual info on the present status of the dog. If not, forget the junk of theoretical possibilities. If yes, share it with me so that I could guide you.
I hope that I could clarify your doubts.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor for your Detailed explanation.... I will select you my online faimly Doc for sure.... :D
1. I got the information that Dog is still alive after (30th day) of biting. But Im not able to observe Dog's Behavior...
2.In this long duration of 30 days, Still Dog normal or behavior is matter when it comes to biting me... before 30 days??
3. What makes me worry is this http://indianexpress.com/article/cities/chandigarh/5-year-old-girl-dies-of-rabies/ follow the link.... Its saying even after vaccination girls died from Rabies..
What is the incubation period of rabies In human?? how long it take to develop symtoms..
Than you doc..
Link http://indiaYYYY.com/article/cities/0000
1. I got the information that Dog is still alive after (30th day) of biting. But Im not able to observe Dog's Behavior...
2.In this long duration of 30 days, Still Dog normal or behavior is matter when it comes to biting me... before 30 days??
3. What makes me worry is this http://indianexpress.com/article/cities/chandigarh/5-year-old-girl-dies-of-rabies/ follow the link.... Its saying even after vaccination girls died from Rabies..
What is the incubation period of rabies In human?? how long it take to develop symtoms..
Than you doc..
Link http://indiaYYYY.com/article/cities/0000
Brief Answer:
You need not worry
Detailed Answer:
You need not worry. Had the dog been rabid, it would not have been alive after 30 days. You need not worry any more about abnormal behavior in the dog since otherwise the dog would not have lived.
In case of a rabies vaccine, there are actually two types. One is an immunoglobulin which is basically basically ready-made immunity that provides immediate protection but does not last. The other is the vaccine that you or that child had taken. It takes 2-3 weeks for the immunity to kick off but if the rabies virus is actually present and if immunoglobulin is not given, the rabies virus can take its toll before your immunity is ready. In such a case death is likely as in case f the 5 year old girl.
However, you need not worry as you are not dead and neither is the dog. Although there is an entity called latent rabies, you need not worry about it and there is significant probability that the vaccine would provide protection.
Try to relax.
Regards
You need not worry
Detailed Answer:
You need not worry. Had the dog been rabid, it would not have been alive after 30 days. You need not worry any more about abnormal behavior in the dog since otherwise the dog would not have lived.
In case of a rabies vaccine, there are actually two types. One is an immunoglobulin which is basically basically ready-made immunity that provides immediate protection but does not last. The other is the vaccine that you or that child had taken. It takes 2-3 weeks for the immunity to kick off but if the rabies virus is actually present and if immunoglobulin is not given, the rabies virus can take its toll before your immunity is ready. In such a case death is likely as in case f the 5 year old girl.
However, you need not worry as you are not dead and neither is the dog. Although there is an entity called latent rabies, you need not worry about it and there is significant probability that the vaccine would provide protection.
Try to relax.
Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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