GENERAL MEASURES

Local wound therapy :- Scrub with soap and flush with water. Chemical cleansing with 1% cetrimide(cetavation) inactivates the rabies virus.

Tetanus toxoid: 1 ml IM stat. (If previously immunized) Tetanus immunoglobulin – TIG

– 250 unitsIM for unimmunized.

Antibiotics – Cover gram positive, gram negative and anaerobes.

SPECIFY THERAPY

 Not previously vaccinated

 HRIG (Human Rabies Immunoglobulin) 20 IU/kg body weight. If anatomically feasible, half of it should be infiltrated around the wound(s) and the rest should be administered IM in the gluteal area. Never give more than the recommended dose. Do not use in the same syringe/ in the samesite as used for vaccination.

Vaccine- HCDV (Human Diploid Cell Vaccine) or RVA – 1.0 ml IM (deltoid area), one injection ondays 0,3,7,14 and 28.

Previously vaccinated –

 HRIG – should not be given.

Vaccine- HDCV or RVA 1.0ml in the deltoid area IM on days 0 and 3. (Vaccine should never be administered in the gluteal area)