{"id":293,"date":"2021-05-24T16:19:12","date_gmt":"2021-05-24T10:49:12","guid":{"rendered":"http:\/\/www.drpromillabutani.com\/blog\/?p=293"},"modified":"2024-06-19T11:23:53","modified_gmt":"2024-06-19T05:53:53","slug":"everything-need-know-rabies","status":"publish","type":"post","link":"https:\/\/www.drpromillabutani.com\/blog\/everything-need-know-rabies\/","title":{"rendered":"Everything You Need to Know About Rabies"},"content":{"rendered":"<p>\u2022 Rabies is a viral disease transmitted by animals.<br \/>\n\u2022 Rabies is 100% fatal.<br \/>\n\u2022 It is transmitted by rabid animal\u2019s saliva either by a lick, bite or scratch.<br \/>\n\u2022 Licks to pre existing wounds, or grazed broken skin, or to the lining of mouth or nose can also transmit the disease.<br \/>\n\u2022 Animals which can transmit Rabies are:<br \/>\n(i) Dogs{96%}<br \/>\n(ii) Bats and monkeys, cats.<!--more--><br \/>\n\u2022 Animals who do not transmit Rabies are:<br \/>\n(i) Domestic rats and rabbits.<br \/>\n(ii) Cattle<br \/>\n(iii) Horses<br \/>\n(iv) Rodents<br \/>\n\u2022 Rabies cannot be transmitted from humans to humans.<br \/>\n\u2022 Rabies in humans can be<br \/>\n(i) Frantic type<br \/>\n(ii) Paralytic type<br \/>\n\u2022 Frantic type is more common and is characterized by pain, itching, at site of wound, fever, malaise, headache for 2-4 days, hydrophobia (fear of water), intolerance to noise, bright light or are fear of impending death, anger, irritability and depression.<br \/>\n\u2022 Duration of illness varies from 2-6 days.<br \/>\n\u2022 Rabies is 100% fatal with no specific cure &#8211; only supportive treatment.<\/p>\n<h3>INDICATIONS FOR GIVING ANTI RABIES VACCINE<\/h3>\n<p>\u2022 All dog bites where there is a break in skin and visible blood.<br \/>\n\u2022 Or its saliva has come in contact with a mucous membrane like mouth eyes etc.<br \/>\n\u2022 All cat bites.<br \/>\n\u2022 All wild animal bites.<br \/>\n\u2022 All bat bites.<br \/>\n\u2022 Horses or monkeys bites.<\/p>\n<h3>NO VACCINE REQUIRED FOR<\/h3>\n<p>\u2022 Domestic rat bites.<br \/>\n\u2022 Squirrel and rabbit bites.<\/p>\n<h3>MANAGEMENT OF DOG BITES<\/h3>\n<p>\u2022 Local wound treatment<br \/>\n\u2022 Passive immunization<br \/>\n\u2022 Active immunization<\/p>\n<h3>LOCAL WOUND TREATMENT<\/h3>\n<p>\u2022 Wash and flush wound thoroughly with copious amounts of water and soap.<br \/>\n\u2022 After that apply POVIDONE IODINE\/SPIRIT.<br \/>\n\u2022 Tetanus prophylaxis in those who have not received tetanus vaccine in routine vaccination schedule.<br \/>\n\u2022 Antibiotics and pain killers\/analgesics if required.<br \/>\n\u2022 DO NOT SUTURE\/STITCH wound for 24-48 hours.<br \/>\n\u2022 Avoid Bandaging Wound.<br \/>\n\u2022 Inject Immunoglobulin around the wound if required.<\/p>\n<h3>CATEGORY DEGREE OF BITES-<\/h3>\n<p><strong>Category &#8211; 1<\/strong><\/p>\n<h5>\u2022 Touching or feeding an animal.<br \/>\n\u2022 Licks on healthy skin.<\/h5>\n<p>IF NO EXPOSURE,NO TREATMENT IS TO BE GIVEN\/REQUIRED.<\/p>\n<p><strong>Category &#8211; 2<\/strong><\/p>\n<p>\u2022 Nibbling of uncovered skin.<br \/>\n\u2022 Minor scratches &#8211; no bleeding.<br \/>\n\u2022 Do local wound treatment.<br \/>\n\u2022 Vaccinate.<\/p>\n<p><strong>Category &#8211; 3<\/strong><\/p>\n<p>\u2022 Transdermal bite with bleeding.<br \/>\n\u2022 Contamination of mucous membrane like eyes, mouth, nose.<br \/>\n\u2022 Broken skin with saliva from animal licks.<\/p>\n<p>Treatment:<\/p>\n<p>\u2022 Local wound treatment. Give immunoglobulin\/monoclonal antibodies as much as possible infiltrated in and around the wound and the rest to be given intra &#8211; muscularly.<br \/>\n\u2022 This has to be done as soon as possible &#8211; at the time of bite or till day 7.<br \/>\n\u2022 Give antirabies vaccine on day 0,3,7,14 and 28 days.<\/p>\n<p>All category 3 bites, all wild animal and bat bites and Class 2 bites in immuno compromised should be given immunoglobulin \/ monoclonal antibodies.<\/p>\n<h3>General Guidelines<\/h3>\n<p>\u2022 Pet dog bites do not need antirabies vaccine if dog\u2019s rabies vaccination is up to date.<br \/>\n\u2022 Pet dog bites need treatment only if category 3 bites.<br \/>\n\u2022 Antirabies should only be given in the deltoid or upper arm,<\/p>\n<p><strong>NOT TO BE GIVEN ON GLUTEAL REGION OR BUM.<\/strong><\/p>\n<p>\u2022 It is important to give all five doses even if the dog is well after 1o days &#8211; 14 days.<br \/>\n\u2022 Even if the dog bite is reported after a month, one has to treat it as a fresh bite depending on category of bite.<br \/>\n\u2022 The vaccine is safe and can be given even to an infant 3 weeks old.<\/p>\n<h3>FAQs<\/h3>\n<p><strong>Q1. Is it a good idea to take preventive doses?<\/strong><\/p>\n<p>Ans. There are no definite guidelines for that except people who deal with potentially rabid animals, Vets, animal handlers, should take 3 preventive doses.<\/p>\n<p><strong>Q2. What happens if one has had the full course of vaccine, 6 months, one year, or two years ago, and is bitten by a potentially rabid animal.<\/strong><\/p>\n<p>Ans. In that case, one needs to take 3 doses at 0, 3 and 7 days.<br \/>\nIf there is a bite within 3 months &#8211; repeat vaccine is not required.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022 Rabies is a viral disease transmitted by animals. \u2022 Rabies is 100% fatal. \u2022 It is transmitted by rabid animal\u2019s saliva either by a lick, bite or scratch. \u2022 Licks to pre existing wounds, or grazed broken skin, or to the lining of mouth or nose can also transmit the disease. \u2022 Animals which can transmit Rabies are: (i) Dogs{96%} (ii) Bats and monkeys, cats.<\/p>\n","protected":false},"author":1,"featured_media":354,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[45],"tags":[],"_links":{"self":[{"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/posts\/293"}],"collection":[{"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/comments?post=293"}],"version-history":[{"count":12,"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/posts\/293\/revisions"}],"predecessor-version":[{"id":405,"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/posts\/293\/revisions\/405"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/media\/354"}],"wp:attachment":[{"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/media?parent=293"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/categories?post=293"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drpromillabutani.com\/blog\/wp-json\/wp\/v2\/tags?post=293"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}