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Social & Preventive Medicine AIIMS 2019 007d53f1

A child has received full Rabies vaccination in December 2018 and now presented with oozing wound on Great toe and the pet had vaccination also. Next line of management is

A
No vaccine required
B
RIG + 5 doses of vaccine
C
5 doses of vaccines only
D
2 doses of Rabies vaccine
High-Yield Explanation
According to NRCP 2015,National Rabies prophylaxis Guidelines (NRPG) says even the pet is vaccinated, no chance is taken, Rabies is 100% Fatal disease. So, Pet's vaccination status is not so relevant in India guidelines Post exposure prophylaxis. 2 IM doses of Rabies vaccine on Day 0,3. Day 0 3 7 14 28 ESSEN Regimen IM 1 1 1 1 1 THAI updated ID Red close R. 2 2 2 0 2 All these vaccinations come under primary level prevention & specific protection. New Recommended Regimens/ Schedules { NEW GUIDELINES} Type of prophylaxis Regimen POST EXPOSURE INTRAMUSCULAR Essen Regimen (1-1-1-1-1) Day 0,3,7,14,28 POST EXPOSURE INTRADERMAL Updated Thai Red Cross Regimen (2-2-2-0-2) Day 0,3,7,28 POST-EXPOSURE IN VACCINATED INDIVIDUALS Day 0,3 PRE-EXPOSURE PROPHYLAXIS Day 0,7,21/28

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