Prophylaxis against rabies in children exposed to bats.
Appropriateness of rabies postexposure prophylaxis treatment for animal exposures. [Medline]. 931:1-121. Outside the United States, in areas where cost and vaccine supply are limiting factors, alternatives to the IM regimens may be more feasible. Tri M Pham, MD Consulting Physician, Division of Infectious Diseases, Watson Clinic, Lakeland Committee on Infectious Diseases, American Academy of Pediatrics.
Intradermal post-exposure rabies vaccination with purified Vero cell rabies vaccine: Comparison of a one-week, 4-site regimen versus updated Thai Red Cross regimen in a randomized non-inferiority trial in the Philippines. Resurgence of rabies. July 2016. Lancet Neurol. In addition to seeking medical attention right after an animal bite (especially from a bat, fox, or skunk), the wound should be cleaned immediately and thoroughly. Postexposure Prophylaxis Treatment Guidelines for Rabies Stages & Signs of Infection. Centers for Disease Control and Prevention. 2016 Jan. 43 (1):44-51. 12 (5):498-513. 2013 Mar 4. 284(8):1001-7. Centers for Disease Control and Prevention. 2019 May 1. You should also tell your doctor if you have any severe allergies, or if you have a weakened immune system due to a chronic condition or use of certain medication (such as steroids). This Doctor Discussion Guide has been sent to {{form.email}}. Prevention of Rabies in Humans Rabies is 100% fatal but also 100% preventable with prompt and complete post-exposure prophylaxis (PEP). Frequently Asked Questions on Rabies. Published 2013. [Full Text]. Current concepts on animal bites: bacteriology and therapy. Willoughby RE Jr. "Early death" and the contraindication of vaccine during treatment of rabies.
[Medline]. N Engl J Med. Published October 6, 2009. 156 (9):651-4. Willoughby RE Jr, Hammarin AL.
Coordinate follow-up evaluations of patients with the primary caregiver, the local health department, and, if applicable, the veterinarian who quarantined the animal.
Centers for Disease Control and Prevention. 2007 Dec. 13(12):1966-7. 2014 Jan. 75 (1):155-60. Paralytic rabies: a Guillain-Barre syndrome mimic. [Medline]. 217(2):190-4. Phylogenetic and epidemiologic evidence of multiyear incubation in human rabies. The need for adherence to local public health recommendations regarding the control and vaccination of domestic animals and the vaccination of individuals who may be exposed to rabies in their occupation cannot be stressed enough. Zhao H, Zhang J, Cheng C, Zhou YH.
[Medline].
1999. 2019 Apr 10. 2004 Dec 16. It is a virus transmitted to humans through an infected animal's saliva. Site users seeking medical advice about their specific situation should consult with their own physician. [Medline]. [Full Text]. Nimodipine may be used for cerebrovascular spasm but may cause severe hypotension. Moore DA, Sischo WM, Hunter A, Miles T. Animal bite epidemiology and surveillance for rabies postexposure prophylaxis. Keep in mind that, regardless of rabies risk, animal bites can cause serious damage when the wound is severe. Dev Biol (Basel). As previously stated, washing and wound debridement at the time of a bite is essential, along with careful cleaning of the wound for longer than 10 minutes. The treatment is effective if given within 24 hours after exposure but has little, if any, value if given three or more days after infection by rabies. Geneva, Switzerland: World Health Organization; 2001. Beginning post-exposure rabies treatment is a medical urgency, not a medical emergency. Human Rabies Immune Globulin. [13, 27]. March 1, 2016. [19]. Because rabies is a zoonosis, primary prevention requires control of rabies in the animal population. Please confirm that you would like to log out of Medscape. 1975 Dec 6.
A Conceptual Model for the Impact of Climate Change on Fox Rabies in Alaska, 1980-2010. What Is the Risk of Catching the Coronavirus on a Plane? Grattan-Smith PJ, O'Regan WJ, Ellis PS, O'Flaherty SJ, McIntyre PB, Barnes CJ.
Because of the exceedingly low prevalence of rabies in domestic animals in the United States, healthy, unvaccinated domestic dogs, cats, and ferrets are often observed for 10 days for signs of illness.