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Query on rabies intradermal booster dose
Hello Doctor,
If previously vaccinated person taking rabies booster doses intradermally. What will be quantity in ml on day 0...........
I mean it will be same quantity as a full course on day 0 OR It will be less quantity? ..........
Please clarify intradermal Full course day 0 in ml and booster dose day 0 in ml.
Answers (20)
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Your question is a good one and the confusion is common. In the intradermal route the volume injected per site does not change - it is the same small intradermal volume (0.1 mL of reconstituted vaccine per site) whether it is a fresh full course or a booster in a previously vaccinated person. What changes is the number of sites and the number of visits: a full intradermal post-exposure course uses two sites on day 0 (one on each forearm) and further visits as per the schedule, whereas a previously vaccinated person taking a re-exposure booster is given a single site on day 0 and one on day 3 - so the total quantity is less, but the per-site quantity is identical. Rabies immunoglobulin is also not needed for a properly previously vaccinated person.
Next Steps
1) Get the booster given at an anti-rabies clinic where the intradermal technique is done routinely - a correct intradermal bleb matters more than the volume, and a wrongly deep injection wastes the dose. 2) Carry your old vaccination card so the doctor can confirm you completed a valid previous course; only then does the shorter re-exposure schedule apply. If the earlier course was incomplete or the record is not available, a full post-exposure course is safer. 3) Wash the fresh wound with soap and running water for 15 minutes and apply povidone-iodine before you reach the clinic - this step reduces risk substantially. 4) The category of the bite still needs to be assessed in person, especially for face, hand or deep wounds, and tetanus cover reviewed. 5) Complete the second visit on day 3 even if the animal appears healthy. If you would like me to go through your vaccination card and the exposure details, you can consult me online on Practo, or visit me at Synergy Multispeciality Hospital, Miraj.
Health Tips
Please do not self-administer or ask a chemist to give the intradermal dose, and never delay the day 0 dose while arranging the record. Seek care immediately for a bite on the face, head, neck or fingers, or a deep or bleeding wound.
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Hi,
Day 0 Dose (New or Unvaccinated Patients):
The very first injection given when a person with no prior rabies vaccination is exposed to a potential risk (like an animal bite).
Intramuscular (IM) Dose: 0.5 mL or 1.0 mL (depending on the specific vaccine brand)
Intradermal (ID) Dose: 0.1 mL per site, usually given at two different sites on Day 0 according to WHO guidelines
Day 0 Booster Dose (Previously Vaccinated Patients):
Treatment given to someone who completed a full pre-exposure or post-exposure vaccination course in the past and suffers a new potential exposure after 3 months.
Intramuscular (IM) Booster: 1 full dose (0.5 mL or 1.0 mL) given on Day 0.
Intradermal (ID) Booster: 0.1 mL given on Day 0.
According to updated guidelines for a person with past vaccination, a booster is typically given on Day 0 and Day 3 (two doses total). No immune globulin (HRIG) is needed for re-exposure.
Next Steps
hope you have understood.. feel free to consult me on practo for further information
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0.1ml at 1 site
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Need a few more details please consult for further evaluation and treatment
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Always 1.0 ml
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Booster Regimen (Previously Vaccinated Individual):
Day 0: 1 dose of 0.1 mL ID at 1 site
Day 3: 1 dose of 0.1 mL ID at 1 site.
Total dose volume per injection site: 0.1 mL.
Full Course Regimen (Unvaccinated Individual - 2-site ID / IPC Regimen):
Day 0: 1 dose of 0.1 mL ID at 2 Different deltoid
Day 3: 0.1 mL ID at 2 sites.
Day 7: 0.1 mL ID at 2 sites.
Total dose volume per injection site: 0.1 mL.
Health Tips
Do not take ARV injection at home Do visit near by Clinic or consult with me on Practo
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Samesame
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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0.1m.l. intradermal or intramuscular is dose used for booster dose of ARV.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Day 0 in full course pep 0.1 ml into both deltoid areas at 2 different sites intradermally
Day 0 in booster dose is 0.1 ml at 1 site intradermally into the deltoid area of 1 arm
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Its same
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Hii
1st question - If you are taking rabies booster dose prophylactic or post bite , the dose remains the same , 1 ml for IM and 0.1 ml ID intradermal
Now second one
If yo are taking prophylactic booster than dose remains same and schedule will be 0,7
And if there's a bite than booster will be 0,3
Next Steps
please elaborate why you are taking booster
Health Tips
Don't take it casually, please consult first
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Same point 1 ml
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Same
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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.