Sir, should a previously vaccinated individual get RIG? I have had an extensive vaccination record. I have taken 5 doses in 2023 june (rabivax) then 6 months after i took two boosters 0 and 3(Rabivax) then i took two boosters in November 2024 intradermally (Govt hospital vaccine) and then in February 2025 i took two boosters intradermally 0.1ml on each side one day as they said i dont need to take injection on both sides so I got 0.1ml on 1 site each day and i got scratched cat 3 was a little deep by a 7 month old kitten who passed away two days after scratching me due to an unspecified ailment. Now i took two boosters of intramuscularly 16 days after. Did i need RIG when the kitten scratched me? Please reply.
Answers (14)
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**To the Patient:**
Your query about **Rabies Immunoglobulin (RIG)** after a kitten scratch, given your extensive vaccination history, requires careful clarification. Here’s the medical guidance:
Key Points:
1. Your Vaccination Status:
- You completed a **full primary series (5 doses in 2023)** and received **multiple boosters (2024–2025)**.
- This indicates **adequate pre-exposure prophylaxis (PrEP)**.
2. RIG is Not Required:
- **WHO guidelines** state RIG is *only* for:
- **Unvaccinated individuals** (or those with incomplete vaccination).
- **Severe exposures** (e.g., bites near the brain/spine).
- Your booster doses (post-scratch) were sufficient to **neutralize the virus**.
3. Kitten’s Death:
- While concerning, rabies transmission via scratches is rare (requires saliva contact).
- The kitten’s unspecified ailment *unlikely* to be rabies if it showed no typical symptoms (aggression, drooling).
Action Taken:
- Your **intramuscular boosters (post-exposure)** were appropriate but **RIG was unnecessary**.
Next Steps:
- No further action needed if the kitten showed **no rabies symptoms**.
- Monitor for **unusual signs** (fever, neurological symptoms)—though highly improbable given your immunity.
For Peace of Mind:
Schedule a consultation to review your records and address lingering concerns.
**My WhatsApp:** Eight Zero Zero Nine Eight Two One Three Three Two (for direct support).
The need of RIG is determined by the extent and location of the bite rather than your vaccination record. It will be decided by the treating Physician.
In any case the Anti-rabies vaccine doesn't give you a life long immunity.
The level of Anti-rabies antibodies comes down very fast.
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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