My 67-year-old father was bitten on the calf by a dog and there was bleeding, but by mistake the doctor classified it as Category II and started vaccination without RIG. In reality, this should have been Category III, especially since the dog died the very next day (high suspicion of rabies). On Day 6, when we asked about RIG, another doctor said it was too late and continued vaccine only. Is this approach sufficient to fully protect him from rabies, or should RIG still have been given within 7 days as per WHO guidelines?
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Bite on the calf, if just abrasion is category 2 bite, but if the bite has created a wound, it is category 3 bite.
Now time has lapsed for RIG, just complete the vaccine schedule. Then after you can undergo test for antirabies antibodies.
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Classification of dog bites can only be commented on examination of the wound. You can share pictures.
Regarding RIG ,the time has passed so there is no point discussing about it
I suppose you have no choice at this stage.
It is too late to administer immunoglobulin.
For documentation purposes you may take immunoglobulin at any stage but how much good it will do is anybody's guess.
Grading is done based on severity of the wound, hence it would be better if you share the wound pic.
Don't worry, basic vaccination shots are being given.
If your doubts are not resolved and required more assistance kindly connect me through practo
Grading is done according to WHO grading guidelines
Which is based upon site of bite and severity of bite/licks/scratches
So it’s important to see the picture of the bite and suggest
Next Steps
1. Do not panic
2. Consult for prophylaxis of the same
Dear just cause dog died next day doesn't make it grade 3. Grading is done as per wound condition and site. If you are unsure about grading of wound .. just share that picture.then only i will be able to guide you correctly and give honest opinion.
Rabies Exposure Categorization
Category II: Minor scratches/abrasions without bleeding, requiring vaccine only.
Category III: Single/multiple transdermal bites, deep wounds, or exposure to saliva via mucous membranes, requiring immediate vaccine and RIG administration.
Timing and Missed RIG Administration
RIG provides passive immunity until the patient develops antibodies from vaccination, which usually occurs 7–14 days after the first dose.
If RIG was not given when indicated (Category III), it should be administered as soon as possible, but can still be given up to the 7th day after the first vaccine dose.
After 7 days (when active antibody response has started), RIG is not beneficial and may interfere with the development of immunity from the vaccine.
Continuing vaccination alone after 7 days is the recommended approach if RIG was missed.
Clinical Relevance
Poor wound management and non-administration of RIG in Category III bites increase rabies risk, especially if the suspect animal died quickly.
Complete wound washing and full vaccine course still provide significant protection, but RIG is especially crucial in severe exposures.
Next Steps
Ensure completion of the vaccine schedule.
Monitor for symptoms; if any suggestive signs of rabies develop, seek immediate medical attention.
Educate on wound care, risk categorization, and timely prophylaxis for future animal bite incidents.
Health Tips
Accurate classification and timely administration of RIG are vital for rabies prevention.
Once 7 days have elapsed after the first vaccine dose, RIG should not be given; focus should remain on completing vaccination
Hello sir,
There are no such guidelines stating that, if there is high suspicion rabies, to consider that bite as category 3 bite.
Category 3 bite depends on how deep the bite was and whether there was bleeding from the site of bite. For that we need a clear image.
But RIG administration now is not of much use, and guidelines recommends to administer within 7 days for a category 3 bite.
Next Steps
Don't panic. Complete the vaccination schedule, that's the only option we have now.
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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