Rabies vaccination after dog bite/monkey bite
Dog bite/ Monkey bite is very scary situation for young kids and their parents. We need to consult doctor immediately as treatment has to be started within 24 hours. Dog bites can lead to rabies disease.
Rabies disease can be prevented with vaccination, but if it occurs it is 100% fatal worldwide.
Rabies can occur with dog bite, monkey bite or any other domestic or wild animals.
Specially if dog bite is unprovoked, chances of dog being rabied is high. Beside as we know the illness is 100% fatal, so whenever in doubt its better to vaccinate the child.
Category of bite:
Table 1: Type of contact, exposure and recommended post-exposure prophylaxis
| Category | Type of contact | Type of exposure | Recommended post-exposure prophylaxis |
| I | Touching or feeding of animals Licks on intact skin | None |
|
| II | Nibbling of uncovered skinMinor scratches or abrasions without bleeding | Minor |
|
| III | Single or multiple transdermal bites or scratches, licks on broken skinContamination of mucous membrane with saliva (i.e. licks) | Severe | • Wound management• Rabies immunoglobulin•Anti-rabies vaccine
|
Management:
- Keep a watch on dog for 10 days if possible.
- Wound cleaning
- If needed Rabies Immunoglobulin
- Anti rabies vaccines (as per protocol)
Not previously vaccinated:
- Wound cleansing: All post exposure prophylaxis (PEP) should begin with immediate thorough cleansing of all wounds with soap and water. If available, a virucidal agent (e.g., povidine-iodine solution) should be used to irrigate the wounds.
- Human rabies immune globulin (HRIG): Administer 20 IU/kg body weight. If anatomically feasible, the full dose should be infiltrated around and into the wound(s), and any remaining volume should be administered at an anatomical site (intramuscular [IM]) distant from vaccine administration. Also, HRIG should not be administered in the same syringe as vaccine. Because RIG might partially suppress active production of rabies virus antibody, no more than the recommended dose should be administered. The dose of equine rabies immunoglobulin is 40 IU per kg body weight of patient and is given after testing for sensitivity
- Vaccine: Human diploid cell vaccine (HDCV) or purified chick embryo cell vaccine (PCECV)
- IM (deltoid area): 1ml dose, on days 0, 3, 7 and 14- 28.
- 2 site ID (intradermal): 0.1ml in both arms, on 0, 3, 7.
Previously vaccinated:
- Wound cleansing: All PEP should begin with immediate thorough cleansing of all wounds with soap and water. If available, a virucidal agent such as povidine-iodine solution should be used to irrigate the wounds.
- HRIG: HRIG should not be administered.
- Vaccine: HDCV or PCECV 1.0 mL, IM (deltoid area†), 1 each on days 0 and 3
For further reading, click on the below link. It will tell you regarding Rabies treatment in details as per govt of India.
Rabies Latest guidelines from WHO
Or you can get in touch with Maya Clinic or your Child specialist / Pediatrician for queries.
Stay healthy and stay away from stray dogs.
Regards
Dr Rahul varma
Please send me details on rabies more importantly recommendation on monkey vaccine against rabies
https://www.who.int/immunization/policy/position_papers/pp_rabies_summary_2018.pdf
Sir,
Meri mom ko leg par monkey ne kaat liya hai blood bhi nikla hai mom ko 0,3,7 k injection to lag gaye hai but 14 days wale injection k liye doctor ne kaha hai k Wo nahi lagta hai 28 days wala hi lagega 14 wale injection k na lagne se in future koi nuksaan to nahi hoga sir pls tell me
Kya koi ESA test bhi hai jiske dwara ye pata chale ke vaccine theek se ho gayi hai
Rabies k bacteria body me nahi hai isko check karne ka bhi koi test hai sir pls tell me as soon as possible
Thanks & regards
your doctor is right. He is following latest guidelines of WHO.
can read on the below link.
https://www.who.int/immunization/policy/position_papers/pp_rabies_summary_2018.pdf
hello sir… i got scratch by monkey yesterday. is there any possibilities of rabies ? what treatment should i take upto what duration????
Antirabies should be taken.. as per routine dose
Hi if the monkey bites had occurs 10 days ago, do we give all the rabies shot ??
I dont find nothing on ”late” post-exposure..
Thank You
Marie-Eve
NP Primary care
Vaccine should be taken as soon as possible… delaying is like risking your life.. remember , rabies is 100% fatal
Dear doctor
my daughter having age 3.5 years old .wounded by stone or dog she dont knw. But doctor advise us to give dog bite injection and we did it and give her one injection yesterday and three more injection has to be given in next days as suggested by doctor. Now my query is that if its not a dog bite then there is any side effects of these injection
No, not at all. It will be helpful for future ( it will act like pre exposure prophylaxis). And remember this is 100% fatal disease. So it is always better to go for vaccine , if any doubt. i think your doctor was right in suggesting vaccine.
Monkey bite on my shoulder minor scratches and bleeding . On the day of bite I went to govt hospital he injected a ARV and said no need of further injection. What should I do? Please suggest.
Better to follow the advise of treating doctor. But if blood was there we need to complete the full course of vaccination schedule for post exposure