Do I Need Rabies Vaccine After Dog Bite Without Vaccination? - Surgery

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Questions about rabies vaccination?


On December 25th, I was bitten on the back of my hand by my own dog, resulting in bleeding.
The wound has gradually healed, but I just learned yesterday that the dog has not been vaccinated against rabies.
Should I get a rabies vaccine?

amdsd, 20~29 year old female. Ask Date: 2021/01/04

Dr. Peng Xianwen reply Surgery


Hello, if your dog has not contracted rabies, you will not contract the disease if it bites you.
It is advisable to properly care for the wound, and if you have any other concerns, please consult your attending physician.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Reply Date: 2021/01/04

More Info


If you were bitten by a dog that has not been vaccinated against rabies, it is crucial to take the situation seriously. Rabies is a viral disease that is almost always fatal once symptoms appear, and it is primarily transmitted through the saliva of infected animals via bites or scratches. Given that your dog has not been vaccinated, there is a potential risk of rabies, especially if the dog has been exposed to wildlife or other unvaccinated animals.

In your case, since the bite resulted in bleeding and the wound has begun to heal, it is still important to seek medical advice as soon as possible. The general recommendation for dog bites, especially from unvaccinated dogs, is to receive post-exposure prophylaxis (PEP) with rabies vaccine and possibly rabies immune globulin (RIG), depending on the circumstances of the bite and the dog's health status.

Here are the steps you should consider:
1. Immediate Medical Attention: You should visit a healthcare provider or an emergency room immediately. They will assess the wound and your risk of rabies based on the dog's vaccination status and behavior.

2. Rabies Vaccination: If the dog has not been vaccinated and you cannot confirm its health status or if it has been acting strangely, the healthcare provider will likely recommend starting the rabies vaccination series. This typically involves a series of four doses of rabies vaccine administered on days 0, 3, 7, and 14 after the first dose.

3. Wound Care: Proper care of the wound is essential to prevent infection. Make sure the wound is cleaned thoroughly, and follow any additional care instructions provided by your healthcare provider.

4. Observation of the Dog: If possible, observe the dog for any signs of illness for at least 10 days. If the dog shows symptoms of rabies or dies during this period, you will need to continue with the rabies vaccination series.

5. Consult Local Health Guidelines: Rabies exposure guidelines can vary by region, so it's important to consult local health authorities or guidelines for specific recommendations based on your location.

6. Consider Other Vaccinations: Depending on the nature of the bite and your vaccination history, your healthcare provider may also recommend a tetanus booster if you have not had one in the last 5-10 years.

In summary, given that your dog is unvaccinated and you have sustained a bite that broke the skin, it is advisable to receive rabies vaccination as a precaution. Rabies is a preventable disease, and timely vaccination is key to ensuring your safety. Always err on the side of caution when it comes to potential rabies exposure.

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