Types of contact and categories of exposure are: category I – touching or feeding animals, licks on intact skin category II - nibbling of uncovered skin, minor scratches or abrasions without bleeding, category III – single or multiple transdermal bites or scratches, licks on broken skin, 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 fo 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. All intramuscular injections must be given into the deltoid region or, in small children, into the anterolateral area of the thigh muscle. Vaccine should never be administered in the gluteal region. In order to reduce the cost of post-exposure treatment, intradermal multi-site regimens using a fraction of the intramuscular volume per intradermal inoculation site have been developed.
Posted on: Thu, 23 Oct 2014 03:09:16 +0000
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