Rabies Vaccination

Vaccination procedure for persons who have not been vaccinated


Pre-exposure vaccination Days 0,28,56 & once one year later, or Days 0,7,21 & once one yr. later
Post -exposure vaccination Days 0,3,7,14,30 & 90 (optional)
Post-exposure simultaneous prophylaxis Vaccination as above, plus Human Rabies Immunoglobulin 20 I.U./ Kg bwt or Rabies immune serum 40 I.U / Kg bwt with the first dose of vaccine or no later than 8 days. Half of total amount of immunoglobulin to be infiltrated in the region of the wound. The remainder is preferably to be injected intragluteally.

Local treatment of the wound should always be carried out. Usually the time interval between the last dose of the vaccine and the date of pre-exposure are taken into consideration. 
Previous Vaccinations using a rabies vaccine with a potency of >2.5 I.U./dose, which date back:- Vaccination Scheme
Less than One year 1 vaccination on day 0. For high-degree exposure 2 vaccinations on day 0 & 3.
1 to 5 years 2 vaccinations: day 1 & 3 For high degree exposure: 3 vaccinations day 0, 3 & 7
More than 5 years A complete course of vaccination including RIG if indicated.

Regimen for post-exposure treatment of a previously vaccinated person

Cases of high degree of exposure, category 11 and III Persons who have previously received pre or post exposure treatment with vaccines of unproven potency, and those who have not demonstrated an acceptable rabies neutralizing antibody titre should receive a complete post-exposure course, including Rabies lmmunoglobulin (RIG) if indicated.

It may be appropriate to double the first dose of the vaccine in the following situations:

  • In patients with underlying chronic diseases e.g. liver cirrhosis.
  • In patients who are congenitally immunodeficient or suffering from AIDS.
  • In patients taking immuno suppressive drugs including corticosteroids and anti  malarials.
  • In severely malnourished.
  • In patients who come for treatment after a delay of 48 hr. or more.
  • In patients where RIG is indicate but is unavailable.


Administering a Rabies vaccine
Rabies
Rabies Transmission by Oral and Other Non-bite Routes

 
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About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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