It is most important to watch the Dog for next 5 days If Dog is normal & live at the end of 5 days = No worry. If Dog behaves abnormal & dies = RabiesIf Dog is unknown or is killed = give full immunization as for Rabies. I. Local Treatment.
1. Wash the wound thoroughly & repeatedly with soap (or cetavalon) and flowing water. Then under local anesthesia, Clean with 70% alcohol or Iodine. 2. Do not suture CLW if small. If large CLW, then suture loosely with drain.
II. Active Immnization.Inj. Rabipur x 6 injections x on 1st day, 3rd day, 1 wk, 2wks, 1mth & 3 mths. (cell culture vaccines = 0,3,7,14,&28) or Inj. A.R.V. 5 ml subcut daily x 14 days. (21 days if infection is severe) x injected at different sites over the abdomen. If the dog is domestic and immunized against Rabies, then wait and watch for 5 days. If immunization status of the dog is not known, start immunization stop immediately and if dog is well after 5 days, stop it (i.e. 2 doses Rabipur or 5 doses A.R.V.) Don’t take risk, as Rabies has no cure III. Passive Immunization:If multiple & deep bites, if bites on face and neck, then additional passive immunization shouldbe given with hyperimmune serum i.e. T.I.G. Inj. Serum T.I.G. “Berirab” (300 iu in 1ml amp) 3-4ml x I.M. x injected away from the site of injection of ARV or Rabipur x A.T.D. (20 iu/kg body wt of Rabies antibodies = 14 – 8 -3) Serum T.I.G. 1ml is applied locally to the wound or infiltrated around it. Note: If Serum T.I.G. is given, 2 booster doses of A.R.V. must be given every 10 days after the 14 or 21 days course, Dose of Rabipur is not affected. Dose of cell culture vaccines is same for children and adults. Dose of ARV if body wt <30kg = 2ml. per day. Persons exposed to Rabid animals must take prophylactic vaccine (cell culture vaccines)- Inj. Rabipur 1ml on Days 0,7,21, lyr, then every 3 yrs.
e.g. Veterinary Doctors & other workers, Forestry workers, workers in slaughter houses, Research workers, rural postmen.
