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3 scratch by cat on 15month old baby.
My son got scratch from unvaccinated cat just 2hours before. 3scratch and now scab formation has happened. He is 15month old.
How immediate should the 1st dose given.
I washed it with running water only.
Answers (9)
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Rabies vaccine should be taken as soon as possible after scratch. Please don't waste more time
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn and vaccination specialist )
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You should wash the wound properly with soap and water and give vaccination within 24 hrs and then follow schedule depending on your injection mode ( I/v or I/d)
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Within 24 hours..
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Cat scratch from an unvaccinated cat in a 15-month child is a rabies exposure (Category II/III), even if scab has formed, so do not delay treatment. Immediately rewash the wound for at least 15 minutes with soap and running water, then apply povidone-iodine or chlorhexidine; avoid tight bandage or irritants. Rabies vaccine (Day 0) should be given as soon as possible—preferably within hours, but start today itself without fail. If there is Category III bite, then Rabies Immunoglobulin (RIG) is required, to be infiltrated into the wounds along with the first dose, under pediatrician supervision. Also assess tetanus status—TT may be needed if immunization is incomplete. For comfort, Paracetamol can be given for pain/irritability. Kindly take the child to a hospital immediately today for vaccination ± RIG.
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Get first dose as soon as possible
Don't delay beyond 24 hours
FYI: vaccinated animal bite is also followed by rabies vaccination
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Dr. Akhil Sharma
Pediatrician
10 yrs exp
Dera Bassi
Asap vaccine
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
I appreciate your presence of mind by washing with running water that's great thing you have done
You need to get vaccine within 24hrs preferably within 6hrs would be the best of the best
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Dr. Allwyn Rayalu A
Pediatrician
10 yrs exp
Chennai
Hi good evening,
First was there any bleeding?
If there was any bleeding Rabies immunoglobulin and rabies vaccination to be done
If there was no bleeding just vaccination is enough
Next Steps
1. Wash with running water and soap for ten minutes
2. looks for bleeders
3. go for vaccination at the earliest possible
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