IAP Advisory Committee on Vaccines & Immunization(ACVIP) endorses the new schedule suggested by WHO in 2018 as below-
Pre-exposure prophylaxis (Pre-EP) is recommended in the following two situations.
• Children exposed to pets in home.
• Children identified to have a higher risk of being bitten by dogs.
Vaccine schedule recommended by WHO
PRE- Exposure Prophylaxis
“1-site vaccine administration on days 0 and 7 for intramuscular administration”.
POST Exposure prophylaxis
A 4-dose schedule of either of the following-
1-site intramuscular administration of vaccine on Days 0, 3, 7 and between day 14-28 (Total doses=1+1+1+1=4)
or
2-sites intramuscular administration on days 0 and 1-site on days 7, 21(Total doses=2+1+1=4)
Is 4 dose scheduled medico legally correct when Indian guidelines still recommend 5 dosage
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Glad to know …that WHO has identified the need of pre exposure prophylaxis in rabies… I had a paper on this topic published titled as “cost benefit analysis of controlling rabies:prioritizing areas in rural setting of maner: a cross sectional study.
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