RABIES Flashcards
Describe appropriate post-exposure prophylaxis after a bite from a dog suspected of having rabies (5)
Tetanus toxoid, broad spectrum antibiotics, do no suture wound, clean wound with alcohol, soap+water, inject anti-rabies antibody into the wound, inject rabies vaccine into the deltoid (opposite deltoid if possible), dates for rabies vaccine - 0/3/7/14/(28).
Name the two (2) modalities used in the post-exposure prophylaxis for rabies after a dog bite, and briefly describe their efficacy (2)
Rabies antibody [½]; rabies vaccine [½]; 100% effective [1] if given early
Describe the post-exposure prophylaxis you would give someone who has just been bitten by a potentially rabid dog (5)
Wash wound. Do not suture. Tet tox. Antibiotics. Vaccine – deltoid, baby = anterolateral thigh. Vaccine days 0/3/7/14/(28). Immunoglobulin into wound; excess into deltoid opposite vaccinated deltoid.
A person who has just been bitten by a potentially rabid dog requests to be tested for rabies hopefully to avoid all the unpleasant injections. State whether requesting these tests is a good or bad practice, and explain your answer (3)
Bad idea – rabies virus will not be detected in this patient. Antibodies would not be detected in this patient unless this patient previously had been vaccinated.
Describe the post-exposure prophylaxis required after a dog-bite (10x½ = 5)
Bacterial: tetanus toxoid, antibiotics. Viral: wash with soap/etc; assess category 1-3; antibody preparations into wound / nearest deltoid; vaccine days 0/3/7/14. Day 28 if immunocompromised. Do not test human. Do not wait for or rely on animal testing to begin PEP.
On the way to the hospital, Amy’s day care mother was bitten by a stray dog.
Name the term used to describe human infection acquired from an animal (½)
Zoonosis
Name two (2) types of post exposure prophylaxis that could be given to Amy’s day care mother to prevent rabies (1)
Rabies vaccine and rabies immunoglobulin.
