Monday, August 31, 2009

Treatment after exposure

Wound cleansing and immunizations, done as soon as possible after suspect contact with an animal and following WHO recommendations, can prevent the onset of rabies in virtually 100% of exposures.

Recommended treatment to prevent rabies depends on the category of the contact:

Category I: touching or feeding suspect animals, but skin is intact

Category II: minor scratches without bleeding from contact, or licks on broken skin

Category III: one or more bites, scratches, licks on broken skin, or other contact that breaks the skin; or exposure to bats

Post-exposure care to prevent rabies includes cleaning and disinfecting a wound, or point of contact, and then administering anti-rabies immunizations as soon as possible. Anti-rabies vaccine is given for Category II and III exposures. Anti-rabies immunoglobin, or antibody, should be given for Category III contact, or to people with weaker immune systems. When humans are exposed to suspect animals, attempts to identify, capture or humanely sacrifice the animal involved should be undertaken immediately. Post-exposure treatment should start right away and only be stopped if the animal is a dog or cat and remains healthy after 10 days. Animals that are sacrificed or have died should be tested for the virus, with results sent to responsible veterinary services and public health officials so that the situation in the area is well documented.

source : wikipedia,google

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