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Rabies vaccine
I was walking today normally and my hair was open suddenly a bird or a bat I don't know came and started pooking in my head. It attacked me .my head is still paining. I am confused do i need to take rabies vaccine
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Rabies Risk Stratification (Harrison’s Reference):
According to rabies exposure categories:
🟡 Category III Exposure (High Risk):
Bites or scratches on head, neck, face, or genitals
Even licks on broken skin or mucosa
Contact with bats (even without visible bite) is automatically high-risk
💡 Conclusion: Since a bat cannot be ruled out, and the head is involved (highly innervated area), this should be considered Category III exposure.
✅ Recommended Action:
1. Start Rabies Post-Exposure Prophylaxis (PEP) Immediately
Rabies Vaccine (Day 0, 3, 7, 14)
Rabies Immunoglobulin (RIG) if not previously vaccinated and exposure is Category III
2. Clean the Wound Thoroughly
Wash with soap and water for at least 15 minutes
Apply antiseptics like povidone-iodine
3. Observe Animal (if captured and identifiable)
If it was a domestic bird: No vaccine needed
If it was a wild bat or untraceable animal: Assume rabies risk
❗Special Note:
Birds do not transmit rabies
Bats are known rabies carriers, and any physical contact is considered a risk
📘 Reference:
Harrison’s Manual of Medicine, Rabies chapter: “All contact with bats, even in the absence of a visible wound, warrants PEP due to possible unnoticed bites.”
Oxford Handbook of Palliative Care supports PEP for high-risk exposures, especially involving head and face.
🟢 Final Advice:
➡️ Start rabies PEP without delay unless it is confirmed that the animal was a non-rabid bird.
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If your previously vaccinated within 5 yrs with TT INJECTION no need to worry .If not taken please take TT INJECTION. Basically no need of rabies vaccine if it's a bird .
Next Steps
wash the area with soap or running water thoroughly
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Need few more details
Kindly connect.
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If any cut due to the pooking, better to take anti rabies vaccine. Get your head examined physically.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Visit to local clinic for proper examination if any lesion go for tt n for doses of Arv.new resume by WHO
0, 3, 7, 28 days.
1 ml is dose, intradermal in deltoid reason.
You may need RIG AT THE SITE OF LISON.
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Is there any breach of skin?
If there is then you will need the vaccine.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Nikhil Patil
Internal Medicine
10 yrs exp
Bangalore
Not required
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Not recquired.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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