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Post-exposure prophylaxis, also known as post-exposure prevention (PEP), is any preventive medical treatment started after exposure to a pathogen in order to prevent the infection from occurring. It should be contrasted with pre-exposure prophylaxis , which is used before the patient has been exposed to the infective agent.
Rabies immunoglobulin (RIG) is a medication made up of antibodies against the rabies virus. [10] It is used to prevent rabies following exposure. [10] It is given after the wound is cleaned with soap and water or povidone-iodine and is followed by a course of rabies vaccine. [10] It is given by injection into the site of the wound and into a ...
The purified Vero cell rabies vaccine uses the attenuated Wistar strain of the rabies virus, and uses the Vero cell line as its host. CCEEVs can be used in both pre- and post-exposure vaccinations. CCEEVs use inactivated rabies virus grown from either embryonated eggs or in cell cultures and are safe for use in humans and animals. [11] [24]
It was initially attempted in 2004 on Jeanna Giese, a teenage girl from Wisconsin, who subsequently became the first human known to have survived rabies without receiving post-exposure prophylaxis before symptom onset. [100] [101] Giese did require extensive rehabilitation afterward, and her balance and neural function remained impaired. [102]
The treatments used for the prevention of rabies, (post-exposure prophylaxis, and pre-exposure prophylaxis) can be high in price, and this may be another contributing factor to the high percentage of rabies infections from in Africa, and similar countries that do not have the vaccines and treatments readily available. [46]
Both are independent rabies reservoir species but make up a large number of bites. This absence of typical symptoms can often cause major delays in treatment and diagnosis in both animals and humans, as the required post-exposure prophylaxis and dFAT tests may not be run.
Rabies is a particular risk associated with dog bites. In the United States between 16,000 and 39,000 people come in contact with potentially rabid dogs and other animals and receive rabies pre-and post-exposure prophylaxis against the rabies virus each year. [25]
Treatment should begin with assessment and management of the bite wound. The wound should be well irrigated. Although rats and small rodents are rarely infected with rabies, the individual must seek medical attention for possible tetanus or rabies post-exposure prophylaxis. Antibiotic therapy should be started immediately as laboratory ...