#सड़क
Автор: Dr. Abhishek Shukla- Aastha Old Age Hospital
Загружено: 2026-02-20
Просмотров: 80286
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Student: Doctor Abhishek Shukla, my friend was heading home from the hospital when a street dog bit her. Does she really need rabies vaccines?
Dr. Abhishek Shukla (Geriatrician): Yes, absolutely—street dog bites are serious because rabies is almost always fatal once symptoms start, but vaccines can fully protect her if started right away. First things first: tell her to wash the bite wound immediately with soap and running water for 15 minutes. That helps remove the virus.
For someone never vaccinated before, like your friend, we follow the standard post-exposure plan (called PEP). It's usually 5 shots in the arm muscle (deltoid) on days 0 (today, as soon as possible), 3, 7, 14, and 28. Some places use 4 doses up to day 14, but 5 is safer, especially for street bites.
If the bite broke the skin or was deep (category III), she also needs rabies immunoglobulin (RIG)—a special shot injected around the wound on day 0 for extra protection.
If she's immunocompromised (weak immune system from meds or illness), stick to the full 5 doses, plus RIG, and test her blood 1-2 weeks after the last shot to check antibodies. She might need a booster on day 90 if levels are low.
Had she been vaccinated before? Then just 2 doses on days 0 and 3.
Rush to a doctor now for wound care and shots—don't wait. Rabies spreads through saliva, and street dogs can carry it. Better safe than sorry!
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