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  • Were rabies vaccine booster needed in this incidence? Can too much of rabies vaccination harmful?

  •  ELVATAAN
    สมาชิก

    Sawadee krap

    Sorry I am a Japanesem I can not write thai Language, so I ask English,

    I read many your Question and answer, MayI ask Question about Rabies and Raboes Vaccine?

    Japanese Doctor do not Knpow about detail of Rabies, Because There does not have rabies In Japan. I am so afraid about Rabies, Of course I am not in Japan now.Usually usually I go to hospital at Bangkok When I need Medical service. But now I Can not Bangkok By Covid -19.

    My first rabies Vaccine was on 30DEC 2009 >>Totatl 5 Times at Bangkok(small dog bite my Leg).

    And not clear remember, but I received 2times(0 and 3day) Rabies Vaccine each exposure until 2019.It is not 2times and 3timesexposure, certainly I had over 5times exposure. Acoording to Western Dr said  you already received Rabies Vaccine 5Times on 2009 , so dog again bite you need 2times Vaccine from now on.

    For Example

    on 30DEC 2009 first Vacciie and 4times left (full course)

    on Dec 2015 again dog bite me , 2time Baccine, 0day and 3day

    〇 Question1: Dr this  vacination schedule is corect?

    And

    From 2010 to 2019 each exposure 2time(0 and 3day) Vaccine,  certainly I had over 5times exposure

    ※And on 2020many time

    on 2Jun and 5Jun//on 26Jun and 29Jun///on 5July and 9Jul

    ///on 27Sep and 4Oct//// 3Nov and 5Nov///

    ※And on 2021many time

    On 22Jan and 25Jan///on 28Feb///7Mar///on 28Apr and 1May.

    Situatiom>>Dog or Cat lightly bite me,  lick my scratch skin,

      〇 Question2

    If too much Vacccination, it is my protect level down from Rabies? I am so worry.

     〇 Question3:

    Do you have a blood test for the rabies immune level at Hosopital of Thai? Is it possible? Because I do not want to more Rabies Vaccine.

    〇 Question4 last Rabies Vaccine on 1may 2021.

    on 4May NIGHT , Neighborhood dog was Kissing with Unknown Dog, and they ate share one food eachother and after unknown dog left and then soon I gave food to Neighborhood dog. And for throw away I touched contaminated with dogs saliva lestover foody,and wash hand by water. And I smoking. But I forgot clean my hand by alcohol. But I Gargled.ciggaret hold in my hand for smoking. I worry infect rabies from my mouth. because  neighborhood dog was Kissing with Unknown Dog and ate shared 1 food eachother. If Neighborhood dog infected Rabies from Unknown Dog.  I touched contaminated with Neighborhood dogs saliva. I washed water my hand  water, and then  smoking .I can observe Neighborhood dog everyday, But I do not know ,that Unknown dog have Rabies or not have. and and for throw away I bit touched(2 or 3seconds) food of contaminate with saliva. I have not scratch on my hand.need 1 more Rabiies Baccine? I worry infect rabies.

    Best regards

     

    ELVATAAN  พญ.นรมน
    แพทย์

    Hi, ELVATAAN

    A booster dose of rabies vaccine can be administered as often as every 6 months to 2 years for person at highest risk for exposure to rabies virus, such as persons who work with animals. If not, the booster vaccine should be given only when exposed (get biten or scratched by animal or animal lick your open wound) by mammals with only one booster if last vaccination was less than 6 months and two booster at day 0 and day 3 if last vaccination was more than 6 months.

    Too much vaccination might not hurt but it is not neccessary to go through it. If multiple dose of booster vaccine were given, the immunization might be higher enough for 1-2 years without having to receive the booster dose in the meantime.

    There is no blood test widely available for rabies immunity. Booster vaccine is adviced if get exposure to animal.

    The incidence you described seemed to be the low risk incidence for contracting rabies if your skin is intact.