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ELISA Score of .32 for Rabies Antibody
I was bitten by dog on 23 Jan on Palm , I was given RIG properly around wound and 5 doses of Rabivax 0,3,7,14,28 which ended 20 Feb and then I took Antibody test thinking it is RFFIT (but it was ELISA) on 6 March , it showed me score of .32 and report suggested > .5 I was concerned and went to doc and he said it is borderline and since dog was a pet it is no risk but that is just of mouth for dog well being i have not seen him. I am not immunocompressed ,I dont have HIV nor I have lower WBC or any accounts related with lower immnunity response and most of cold and issues get healed without medcicines What should i do , I am bit tensed
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Thank you for sharing the details. Based on your history, you have received complete post-exposure prophylaxis (RIG + full vaccination schedule), which is highly effective in preventing rabies when given correctly. Regarding the antibody test: ELISA is not the recommended test to assess protective rabies antibody levels. The standard test is RFFIT, and ELISA values may not correlate reliably with protection. Therefore, a value of 0.32 by ELISA should not be over-interpreted. In an immunocompetent individual like you, who has completed proper vaccination, the risk of rabies is extremely low to negligible, especially if the dog was a pet and remains healthy.
Next Steps
What you can do: No immediate intervention is usually required. If you are still anxious, you may consider: A single booster dose of rabies vaccine (for reassurance), OR Testing with RFFIT at a reliable lab. Please watch for the dog’s health status (if possible). If the dog remains well after 10 days of the bite, it further supports no transmission risk. Your current situation does not suggest a cause for concern, so try to stay reassured.
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This question is best addressed to an infectious disease physician and not a Neurosurgeon.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.