rabies vaccine s needed as a prophylaxis even though ur dog is vaccinated Rabies Post-Exposure Prophylaxis for Healthy, Immunocompetent Persons, Including Pregnant Women * Indicated if last tetanus vaccine was more than 5 years prior to exposure † Completed pre- or post-exposure regimen of human diploid cell vaccine (HDCV) or purified chick embryo cell vaccine (PCEC) within the past 20 years, or received another vaccine with documented serum titer corresponding to complete neutralization at 1:5 serum dilution (or its equivalent, approximately 0.1-0.2 IU/mL) by the rapid fluorescent focus inhibition test (RFFIT Excerpt form “Animal Bites and Rabies Risk: A Guide For Health Professionals” 8/2014 Vaccination Status Treatment Dosage/Administration Guidelines for All Ages Day of Regimen Not Previously Vaccinated • Wound cleansing • Tetanus toxoid booster* • Human rabies immune globulin (HRIG) • 20 IU/kg body weight • Infiltrate HRIG into and around the wound • Remaining HRIG given IM at a site distant from the vaccination site Day 0 (HRIG can be given up to day 7) • Rabies vaccine • Four 1.0 mL doses, given IM  Adults/older children: deltoid area  Young children: anterolateral thigh  Never in gluteals Days 0, 3, 7, 14 Previously Vaccinated† • Wound cleansing • Tetanus toxoid booster* • Rabies vaccine • Do not give HRIG • Two 1.0 mL doses, given IM  Adults/older children: deltoid area  Young children: anterolateral thigh  Never in gluteals Days 0, 3