|
From WHO
Types of contact are:
category I – touching or feeding animals, licks on the skin
category II - nibbling of uncovered skin, minor scratches or abrasions without bleeding, licks on broken skin
category III – single or multiple transdermal bites or scratches, contamination of mucous membrane with saliva from licks; exposure to bat bites or scratches
For category I no treatment is required, whereas for category II immediate vaccination and for category III immediate vaccination and administration of rabies immune globulin are recommended in addition to immediate washing and flushing of all bite wounds and scratches. Depending on vaccine type, the post-exposure schedule prescribes intramuscular doses of 1 ml or 0.5 ml given as four to five doses over four weeks. For rabies-exposed patients who have previously undergone complete pre-exposure vaccination or post-exposure treatment with cell-derived rabies vaccines, two intramuscular doses of a cell-derived vaccine separated by three days are sufficient. Rabies immune globulin treatment is not necessary in such cases. The same rules apply to persons vaccinated against rabies who have demonstrated neutralizing antibody titres of at least 0.5 IU/ml.
__________________
Si non potes inimicum tuum vincere, habeas eum amicum and ride a big blue trike.
"'Bipartisan' usually means that a larger-than-usual deception is being carried out."
|