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Showing posts with label post-exposure prophylaxis. Show all posts
Showing posts with label post-exposure prophylaxis. Show all posts
Friday, September 4, 2015
RABIES !!! THE BAT CONNECTION.
Rabies is a very serious disease caused by a virus. Rabies is mainly a disease of animals but humans can get rabies if bitten or scratched by an infected animal. The virus infects the brain, causing an animal to exhibit unusual, often aggressive, behavior.
The rabies virus is present in the saliva of the infected animal and is spread when the saliva gets into a bite or scratch. Wild animals like bats are the most common source of transmission of rabies to humans ; Skunks, raccoons, dogs, cats, coyotes and foxes are other examples of animals that can transmit the disease.
When traveling, it is always prudent to avoid approaching any wild or domestic animal.
Avoid contact with wild and unfamiliar domestic animals .Wild animals should not be kept as pets and should never be handled by people who are not properly trained and vaccinated.
Dogs, cats or ferrets that have received rabies vaccination are unlikely to be infected with rabies. Bites from wild animals are considered to carry a risk of rabies unless proven otherwise by testing.
Bats causes rabies anyone who is bitten or scratched by a bat should receive post-exposure prophylaxis, unless the bat can be tested and its negative for rabies. However, under certain circumstances, bats can bite and transmit rabies without the victim being aware of the bite.Bats should never be kept as pets and should not be picked up or handled by anyone, except those who are trained and have received rabies vaccination.
When someone contracts rabies, there are no symptoms initially ,Sometimes it is weeks to even months after a bite when symptoms begin. The first symptoms of rabies may be very similar to those of the flu, including general weakness or discomfort, fever or headache. These symptoms may last for days. There may be also discomfort or a prickling or itching sensation at the site of bite. Additional symptoms are anxiety, confusion, agitation, seizures, abnormal behavior, hallucinations and insomnia. Human rabies almost always results in death.
Rabies infection can be prevented, even after a bite or a scratch from an infected animal occurs. Wounds should be washed with soap and lots of water and may be rinsed with an antiseptic. This will reduce the risk of the rabies virus entering the body.
A series of injections, including rabies vaccine and human rabies immune globulin, can prevent rabies, even if the virus enters the body. This preventive strategy is called post-exposure prophylaxis. Rabies immune globulin contains antibodies against the rabies virus and provides immediate protection against rabies infection, whereas the rabies vaccine provides protection within approximately two weeks.
Certain information is needed to determine if post-exposure rabies prophylaxis is needed. This includes: whether the person was bitten or scratched, and the location of the wounds and the type of animal involved.Whether the exposure was provoked or unprovoked (animals infected with rabies are more likely to attack, even when not provoked).
The vaccination status of the animal against rabies and the presence of rabies in that animal species in the region and the availability of the animal for testing or observation.
The post-exposure prophylaxis consists of a regimen of one dose of immune globulin and four doses of rabies vaccine. Rabies immune globulin and the first dose of rabies vaccine should be given by the health care provider as soon as possible after exposure. Additional doses of the rabies vaccine should be given on days 3, 7 and 14 after the first vaccination.
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