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Rabies - Treatment

Treatment:

Clean the wound well with soap and water, and seek professional medical help. You'll need a doctor to thoroughly clean the wound and remove any foreign objects. Most of the time, stitches should not be used for animal bite wounds.

If there is any risk of rabies, you will be given a series of a preventive vaccine. This is generally given in five doses over 28 days.

Most patients also receive a treatment called human rabies immunoglobulin (HRIG). This is given the day the bite occured.

There is no known effective treatment for people with symptoms of a rabies infection.

Expectations (prognosis):

It's possible to prevent rabies if immunization is given within 2 days of the bite. To date, no one in the United States has developed rabies when given the vaccine promptly and appropriately.

Once the symptoms appear, few people survive the disease. Death from respiratory failure usually occurs within 7 days after symptoms start.

Complications:

Untreated, rabies can lead to coma and death.

In rare cases, some people may have an allergic reaction to the rabies vaccine.

Calling your health care provider:

Go to the emergency room or call the local emergency number (such as 911) if an animal bites you.

  • Reviewed last on: 9/28/2008
  • Jatin M. Vyas, PHD, MD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Manning SE, Rupprecht CE, Fishbein D, et al. Human rabies prevention. Recommendations of the Advisory Committee on Immunization Practices; May 23, 2008. No. RR-3.

Weber EJ. Rabies. In: Marx J, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 6th ed. St Philadelphia, Pa: Mosby Elsevier; 2006:chap 129.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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