Hydrophobia, hydrophobia is an infectious disease caused by Rabies Virus rabies virus and an infected animal that occurs after a bite or flashing, which is characterized by severe damage to the nervous system and ending, as a rule, due to death. Framing is manifested by motor excitation, respiratory and swallowing muscles and parallery development in the final stage of the disease.

Freshness virus

The rabies virus (NeuroryCetes Rabid) refers to the Lyssavirus LysSavirus family group of the Rhabdoviridae family. Detected in saliva, as well as in tears and urine. The firm virus in the external environment - dies when heated to 56.s in 15 minutes, when boiling in 2 minutes. It is sensitive to ultraviolet and direct sunlight, to ethanol and to many disinfectants. However, resistant to low temperatures, to phenol, antibiotics.

After penetration into the body, the rabies virus applies to nervous endings, striking almost the entire nervous system. Swells, hemorrhages, degenerative and necrotic changes in the nerve cells of the head and spinal cord are observed. The source of rabies virus is both wild and pets. Wildlinks include wolves, foxes, jackals, raccoons, badgers, skunks, bats, rodents, and to homemade dogs, cats, horses, pigs, small and cattle. However, foxes and homeless dogs outside the city in the spring-summer period are the greatest danger to a person.

Animals are considered in contagious 3-10 days before signs of illness and further during the entire period of the disease. Often patients with rabies animals can be distinguished by abundant saliva and tearing, as well as when observing the signs of the waterproof. A person's infection occurs when the bite is "mad" animals. And also when the sickness of the patient animal is hit on damaged skin or mucous membrane.

In recent years, air-dropleted, alimentary (through food and water) and transplacental (through a placenta during pregnancy) of the transmission path of the virus are described. Many discussions cause several cases of people infection with rabies as a result of organ transplant operations.

Signs of rabies

The incubation period (the period from the bite before the end of the disease) is on average 30-50 days, although it can last 10-90 days, in rare cases - more than 1 year. And the more the place of bite from the head, the greater the incubation period. A special danger is bitten bits and hands, as well as the bites of children. The incubation period lasts longest when the bite in the legs.

Severe 3 stages of the disease:

• I - initial;
• II - excitation;
• III - paralytic.

The first stage of rabies is characterized by the following signs:

• general malaise;
• headache;
• a slight increase in body temperature;
• muscle pain;
• dry mouth;
• decline in appetite;
• sore throat;
• there may be nausea and vomiting.

An unpleasant sensation appears in the place of bite - burning, redness, drawing pain, itching, increased sensitivity.

Symptoms of rabies

The following symptoms of rabies are distinguished: the patient is depressed, closed, refuses to eat, he has inexplicable fear, longing, anxiety, depression, less often - increased irritability. For symptoms of rabies, insomnia, nightmares, olfactory and visual hallucinations are also characteristic. After 1-3 days, a second stage comes with rabies, the second stage occurs.

Anxiety appears, anxiety, and the most characteristic for this stage, the attacks of the water-house. When you try to drink, and soon even at the sight and sound of pouring water, there is a feeling of horror and muscle spasms of the throat and larynx. Breathing becomes noisy, accompanied by pain and convulsions. At this stage of the disease, a person becomes irritable, excitable, very aggressive, "mad."

During the attacks, patients shout and droopy, can break the furniture, showing inhuman power, throw people. There is an increased flow and salivation, the patient is difficult to swallow the saliva and it is constantly spitting. This period usually lasts 2-3 days. Next comes the third stage of the disease, for the beginning of which calmness is characterized - fear disappears, the attacks of the water-visa, hope arises for recovery.

After that, symptoms of the last stage of rabies appear:

• the body temperature is increasing over 40-42 degrees;
• there comes paralysis of the limbs and cranial nerves of various localization;
• disturbances;
• cramps.

Death comes from the paralysis of breathing or stopping the heart. Thus, the duration of the disease rarely exceeds the week.

Grabia vaccination

There are no treatment methods as such from rabies. If the disease is already in the first stage, other outcome than the lethal, most likely, will not. Although the world knows a single case of cure from rabies. But while it is exotic. However, there is a way to prevent the disease by killing it in the embryo.

This method of specific prophylaxis is a grafting from rabies, no later than the 14th day from the moment of bite.

The best specific prophylaxis is the introduction of specific immunoglobulin and / or active immunization (vaccination). The vaccine is injected intramuscularly 1 ml 5 times: on the day of infection, then 3, 7, 14 and 28th day. With such a scheme, a good immunity is created, but WHO recommends the 6th injection 90 days after the first. The best place of vaccinations against rabies is the deltoid muscle shoulder or thigh.

In the event that a person is bruised, but before the bite was brought in full scheme, and he has a sufficient level of antibodies, it is vaccinated by a special scheme without the use of immunoglobulin. Therapy may be discontinued if it is found that the animal remains healthy for a 10-day observation period or if the animal did not find a rabies virus. Some persons who come to the risk group (veterinarians, keen, hunters), you need to be taken in advance. Vaccinations are also carried out according to a specially established scheme with the first revaccination after 12 months. And then every 5 years.

What if you were bitten?

The first thing to do is, it is immediately rinsed by the bite of soap. It is necessary to wash quite intensively for 10 minutes. Deep wounds are recommended to rinse the stream of soap water, for example, using a syringe or catheter. No need to catch the wound or put the seams. After that, you need to immediately contact the nearest trauma, because the success of rabies vaccinefilact strongly depends on how quickly you turned for help to the doctor.

It is advisable to inform the doctor in the trauma of the following information - the description of the animal, its appearance and behavior, the presence of collar, the circumstances of the bite. Next, the vaccinations appointed by the doctor should be carried out. For forty-enclosures in the stomach for a long time, no one does, you will be introduced a vaccine and let go home. And so five or six times. In the hospital, they can leave busting if its condition is particularly severe, beyond re-, as well as persons who have diseases of the nervous system or allergic diseases, pregnant women, as well as persons grasped by other vaccinations over the past two months.

At the time of vaccination and 6 months after it, it is necessary to refrain from the use of alcoholic beverages. In addition, if you pass the vaccination rate from rabies, you can not be overworked, overheat or overheat. During vaccination, it is necessary to carefully monitor the state of health. And with any complaints of the deterioration of the state, it is necessary to consult a doctor, and the vaccinations temporarily stop. Only after the examination by the neuropathologist, the therapist and the challenge, the issue of continuing vaccinations is consulted.

Questions and Answers on Freshness

Question: Good day. 7.11.17 I was bitten by a dachshund when I was in the entrance of the house. The hostess was with a taxi on a leash and a child was with her and said that her dog was grasped and chipped. This dog somehow shed me back. The bite went through his pants, but the cover of the skin broke (now the traces of three teeth visited the wounded long ago). I 15/15/17 went and made the first vaccination against rabies. On the same day I saw both the dog and the hostess. The dog was cheating, climbed me. But I continued the vaccination course. During vaccination, 1 time consumed alcohol (at the wedding, something forgot). She talked about this to the doctor, she said that if no side effects were, the slight use of alcohol would not affect the action of the vaccine (2nd day after 3 vaccinations). Passed the entire course of vaccinations (5 vaccinations of the cocaine vaccine). In early December, I saw this dog - played with a child in the yard. I again leoyed. But so far somehow it is not calm on the soul and fear of getting sick appears (as in NG! And after, after 3 weeks, it drank again a little alcohol). I am very worried ... Can vaccine somehow \\ "revive \\" and cause a disease? (Although I understand that it is unrealistic .. But still ..) Thank you for the answer.

Answer: Do not worry, everything is in order: you made vaccination, the dog is not sick, alcohol does not affect.

Question: Hello! After what time after the vaccination, you can plan a pregnancy?

Answer: Hello. The rabies vaccine belongs to the so-called inactivated (killed) vaccines, and therefore does not require any deadlines of the planned pregnancy. The vaccine forms protective immunity against rabies virus, nor any other internal organs does not affect.

Question: Hello. 4 days ago at night after the rain, I was told home along the way in the courtyard met a dog with puppies. Feed them, and one and puppies bit the finger when I gave him food. Puppies run through all day in the yard. It seems of no symptoms. Is there any likelihood that they are infected? Talked with the neighbors say that this dog has already lived in the courtyard. Is it worth making prevention?

Answer: Hello. If it is not possible to check the dog from the veterinarian - you need to go through the vaccination course.

Question:Hello! Bitted the cat's finger, very much. Made 5 vaccinations against rabies, cat alive-healthy. The wound healed. Is it possible to go to the sea in 5 months? Thanks.

Answer:Hello. During the entire course of vaccination and within 6 months after its end (totaling 7-9 months), it is strictly contraindicated: the reception of alcoholic beverages, physical overwork, overheating in the sun or in a bath, supercooling. But, if the cat is alive and healthy - then you can.

Question:Hello. I went put my dog \u200b\u200bfrom rabies, and on the second day after vaccination my dog \u200b\u200bclimbed onto the bed and licked me to the edge of the lips, it seems saliva on the mucous membrane. Is it possible to get infected at the same time?

Answer:Hello. Watch the dog up to 10 days if nothing happens to it, then everything is in order.

Question:Good day! There was a course of 5 vaccinations against rabies .... Now they can not find the reason for the temperature for 4 months. Is it possible to get rage due to an incomplete course if the bite was in the hand of an animal, which was on the hands of the photographer, if 4 months passed and from what the temperature may be, which at 23:00 falls, and in the morning it rises? T EMPERATURE 37-37, 5 In the daytime, all possible analyzes for viruses are passed other than rabies

Answer:In this case, it is recommended to conduct an inspection to the rabies virus, for this it is necessary to consult with the doctor infectious player and give saliva to the definition of rabies virus by the PCR method. Only after receiving the results of the survey, you can make a complete conclusion. It is also recommended to eliminate the presence of the pathology of the thyroid gland, because The violation of the function of this body leads to the appearance of subfibrilite.

Question:9 months have passed after the bite of the dog. I saw her alive after 10 days, but I thought that it was better to go through vaccination, just in case I was told not to drink and that's it. No one spoke about the overwork and out so that I went to the sea, and worked, and sunbathe, and I was bought, and I was engaged in sports, and now 9 months has passed. Tell me: Restrictions already removed?

Answer:Overwork, emotional overvoltage, alcohol consumption, after vaccination against rabies, can weaken the effect of the vaccine and, thus, increases the risk of infection with rabies (if the dog who bubbing you was sick). If you are definitely sure that the dog's rabies did not have, your well-being at the moment is not broken - there should be no reasons for anxiety.

Question:I was bitten by the dog, which was examined by the vet and gave a certificate that she was healthy. In the trauma, I had a 3-time vaccination rate according to the scheme: 0, 3, 7. For 10 Day, the veterinarian examined the dog and gave a certificate that she was healthy. Do I need to further make vaccinations? What time does the restrictions apply not to sunbathe and not drink alcohol? Thanks!

Answer:In the situation described by you, you may not continue the course of vaccination against rabies, since the state of the health of the dog biting you is not violated. Strictly adhere to the limitations mentioned by you, preferably at least three months. Also, within a month after vaccination, it is necessary to avoid increased physical exertion.

Question:Hello, in October will be 8 months how I began to make vaccinations from rabies. I want to know: do I have already allowed physical exertion? I heard that it is impossible to overwork and if it is impossible, how much else is it? And how much cannot drink alcohol?

Answer:After vaccination against rabies, restrictions should be observed within 6 months (not to use alcohol, not overwork, not to translate). After 6 months, restrictions are removed, but it is not necessary to change the lifestyle, it is not necessary to give the body to adapt.

Question:Hello. Especially fox strangled chickens, the mother of them was separated and gave the dogs. What is the likelihood that mom and dogs can be infected? Lisa has long been living in a nearby garden. Thanks in advance.

Answer:Man infection with rabies occurs when a sick animal bites. It is also possible to infection when the patient's saliva is inserted on the mucous membrane or damaged skin, as well as when eating meat of patients with animals. To eliminate the likelihood of infection, you should contact the infectious background and carry out laboratory diagnostics (selection of virus from biological fluids). In case of suspected infection, it will be necessary to conduct vaccination with specific serum.

Question:tell me: Is the dog in the incubation period? Can she infect? Somewhere they write - yes, somewhere - no. I do not know who to believe.

Answer:The incubation period of rabies in dogs is 14-60 days on average, in some cases this period may increase and is 6-12 months. Throughout the incubation period, the animal represents a threat to a person, since in case of bite, infection may occur.

Question:Dog fought at work. Puppies were about 2 months. I decided to pick up one home. He began to catch and he bit me a little, there was no blood, but one scratch remained. Today, the second day - redness comes out and scratch is delayed, but I still worry.

Answer:In this case, consult your infectious doctor, to solve the issue of the need for vaccination against rabies and show the puppy to a doctor to the veterinarian. In the event that during the week the condition of the dog does not worsen you about nothing to worry about. In the event that you decide to leave the dog at home, it is recommended to hold a dog vaccination, to protect the animal from various diseases, pick a vaccination schedule will help you a veterinarian doctor.

Question:A month ago, a gentle dog came across a cafe in one cafe, I was playing me attemp me for a pant and leg. But no wounds on the leg left, even traces. And then a month I go to the same cafe. And I see the same dog, moving sluggishly, mostly lies, and so the last few days. Is it necessary to worry me? And what to do?

Answer:In the event that during the bite you did not have any impaired integrity of the skin, the likelihood of infection with rabies - is excluded, the vaccine-philantic in this case is not needed.

Question:Hello. Tell me please, I was bitten a dog, the homeless, the first vaccination was done for two hours. From the moment of the bite, 19 days passed, the dog is alive, and looks healthy. Most likely defended puppies. But I will continue the vaccination course. I do not drink, I'm not sunbathing, I follow my health. Please tell me if it is possible to make a tattoo, otherwise you don't want to go with an unfinished tattoo? Thanks.

Question:Hello. Yesterday, daughter (9 years old) went for a walk with a homemade cat. Cat is grafted by all the necessary vaccinations, including rabies. Cat was on hand. Street dog, seeing the cat, began to jump around, tried to get it, trying to learn about the child, barking on the cat. The dog did not growl, saliva did not drip, it was sometimes seen in our yard. When I escaped into the courtyard, the dog stood aside from the child. The girl on the hand is very small and not deep small scratches, of which the blood was covered. From fright, it was not able to say who put scratches and could not say a dog bit or not. Then she said that scratches from the cat, when she climbed back. I worry. And the daughter has a little increasing pancreas, we are a year as we treat belly, sit on a diet. The stomach was examined and treated. Can it aggravate the health of this vaccination? And is it worth making the vaccination against rabies in general in our case?

Answer:In this case, it is recommended to consult a doctor with an infectious person to conduct a personal inspection and examination, as well as solving the issue of the need for vaccination. In the event that the doctor specialist decides on the need for vaccination, you should not refuse and the presence of a concomitant pathology of the gastrointestinal system will not be contraindicated.

Many people fell into a situation where contact with wild animal or small rodent ended with a bite. And not always an unpleasant incident was limited to pain in the place of bite and unpleasant memories. Many wild or homeless animals are sick with rabies, which means that a deathly dangerous virus falls into the human body in the human body, threatening with a fatal outcome. Save life in such a situation can only an anti-executive vaccine (grafting from rabies).

Modern medicine has 2 types of vaccines in arsenal. The first is used to prevent frantic animal bites, and is appointed by the employees of zoos, veterinarians, as well as persons who wish to insure themselves from possible infection. The second vaccine is called anti-cancel serum and is introduced in emergency cases, after the animal bitten a person. But even understanding the need for such vaccinations, many people are asked by the side effects of vaccination and are trying to figure out the doctor, what is the condition of the body after vaccination against rabies. In details, consider this question.

The need for rabies vaccination

According to WHO statistics, more than 35,000 people die from Rabies Virus infection or rabies virus. Moreover, in the overwhelming majority, the inhabitants of underdeveloped countries suffer from this infection, where medicine does not control the vaccination of people and animals from this terrible ailment. On the contrary, in countries such as the United Kingdom and Germany, where the state takes care of the safety of its citizens, the level of infection with this virus is practically reduced to zero.

Side Effects of Vaccine

Any vaccination may be accompanied by unpleasant states. Anti-execution vaccination also does not exclude the appearance of side effects. True, when the infected animal was already bitten by a person, the decision should be unequivocal - urgently make vaccination, because it is about salvation of a person's life. But in the case of prophylactic vaccination, many have doubts about the feasibility of such actions and the main argument against vaccination - side effects. We list the possible reactions of the body.

Reactions to Preventive Vaccination

Local reactions

Considering that preventive injections from rabies are found 3 times, and in the case of infection, serum is administered as much as 5 times (with the injections put in different places), the emergence of local reactions is not excluded. Usually everything is limited to light itching, redness, sealing and swelling of the place of administration of the drug. Such reactions do not deliver special discomfort and pass within 3-4 days.

General reactions

The introduction of the vaccine sometimes causes common reactions of the body, manifested in the form of weakness and drowsiness, trembling in the limbs, increasing the temperature, headache, muscle or articular pain. Often anxiety disorders of digestion (diarrhea, constipation or flatulence).

Allergic manifestations

Much less often the body responds to the introduction of a vaccine allergic manifestations like urticaria or angioedema edema. Usually, faces faces with predisposition to allergic reactions. In case of manifestation of such unpleasant symptoms, it is enough to consult a doctor who will appoint one of the suitable antihistamines (Claritin, Supratin, Zirtek, Fencarol and others).

Reactions to the introduction of anti-cancer serum

A much harder body transfers the introduction of serum in cases where the bite has already occurred and it is necessary to obtain immunity from rabies virus earlier than the infection occurs. In addition to the above reactions, the introduction of this sera can be accompanied by the following states:

• serum disease (approximately 20% of cases) - the state is similar to allergies, but with a more severe flow;
• hyien Barre syndrome (in 5% of cases) is a disease in which the sensitivity of the limbs is disturbed. This ailment passes after 2-3 months;
• anaphylactic shock (0.05% of cases) is an acute allergic reaction that threatens the life of the patient.

As you can see, the condition of the body after grafting from rabies may be accompanied by severe reactions, but only in cases where there is a threat to human life. As for the prevention of infection, such vaccination in most cases proceeds without any trouble, therefore should not be treated with caution. Health to you!

This disease causes a virus that falls into a person with a salivary animal. The most common way to transfer rabies is a bite, after which the vaccination is required, since the probability of the development of the disease can be from 25 to 90%.

When vaccinations are needed for man

If a mad animal bites a person, then the saliva necessarily falls into the wound, after which the disease will begin to develop. The incubation period of the disease is from 1 to 8 weeks, and even through the smallest routing, the virus is able to get into the body. Frequent carriers are homemade cats, dogs, rodents who were bited by a mad beast and are carriers of an infectious disease. Immediately after the bite, an emergency vaccination is made. There are people who regularly pass a preventive planned vaccination by the nature of professional activities:

• huntsman;
• trainers;
• veterinarians.

Than rabies vaccination

In most cases, injections from rabies to a person are made by two drugs: anti-cancer vaccine and immunoglobulin. They have a different principle of operation, and their choice depends on the duration of the incubation period of the virus. The doctor takes into account the extensity and depth of bites, their localization and number. If they are lungs, then one anti-execution vaccine is introduced, since a person has more time before the development of the virus.

When the bites are heavy, moderately or more than 10 days after infection, and wait until your immunity appears, there is no time, then the combined course is being added to the vaccine. It gives immediately passive immunity for a short time, while the vaccine gives it only after 2-3 weeks, but for a long time.

Anti-library vaccine

The anti-library vaccine itself is not able to kill the virus. Her task - immediately after the bite of an infected dog or another animal to provide human body antigenic information about infection. Reading it, the immune system begins to produce antibodies and neutralizes the virus. An anti-cancer vaccine from rabies for a person helps to acquire active immunity for a period of at least one year. The instruction says that an anti-executive vaccination can be made after contact with busting or biting animals even a few months later.

Anti-cancer immunoglobulin

Wafe with rabies with a vaccine begins to "work" only after 2 weeks. Whole this period, the body remains defenseless from infection, and in order to support it, temporary finished antibodies are introduced. An anti-execution serum of immunoglobulin is a drug that contains concentrated antibodies derived from donor blood. This may be a person or a horse with a pre-entered vaccine. After administration, anti-liblical immunoglobulin is completely excreted from the body for several weeks, so such immunity is called passive.

How to vaccinate against rabies man

The vaccination scheme in all countries of the world is based on WHO requirements, but sometimes there may be differences due to the prevalence of the virus in each particular region. Pricks in the stomach are no longer 40 years old. Adult vaccinations are introduced into the upper part of the hand, and children in the front of the thigh. In no case cannot be introduced into the buttock muscle.

Modern rabies vaccination consists of 6 injections of an anti-flame vaccine at 0, 3, 7, 14, 30 and 90 days from circulation. The schedule and the dose of drugs for the child and adult are not different. Anti-library immunoglobulin is introduced once before the introduction of the vaccine in the following cases:

• with a cease of treatment of the patient (more than 10 days after the bite of a suspicious animal);
• with severe and medium bite.

Contraindications

According to the instructions, making vaccinations for rabies prevention are not recommended for children who have a weakened immune system, women during pregnancy and people with exacerbations of chronic diseases. Fancy vaccine with caution is introduced to patients suffering from AIDS, oncology or having intolerance to some components of the means. After the bite of a mad dog or another animal, the vaccination is made necessarily, since the refusal may cause human death.

Side effects

The introduction of the drug is sometimes accompanied by local or common reactions. In the most serious cases, Guillana Barre syndrome is developing, which is accompanied by vegetative disorders and other complications. Injections against rabies do not have compatibility with alcohol, so its reception is prohibited throughout the course. Common side effects.

Andrey asks:

A month ago I made a third vaccination, the dog saw a living course stopped. Maybe I now go to the bath is important. And you can use alcohol, and if it is impossible why :)

Recommendations after vaccinations: not to use alcohol for at least 6 months, not to overcool, do not overheat and not exposed to long solar effect. So the campaign to the bath is better to postpone.

Galina asks:

If only one vaccination is made from rabies, and then did not do, because the dog is alive, what restrictions to observe and why? Main-like long?

Regardless of the amount of vaccination, all the requirements are recommended to be observed within 6 months: not to use alcohol, not to translate, do not overheat and not exposed to long solar exposure, in order to avoid the development of side effects after vaccination.

Galina asks:

What are the side effects after one vaccination against rabies? Is it normal that in the place of the junciful seal?

Yes, such a reaction to the introduction of the vaccine is possible, you need to additionally take antihistamine preparations (claritine or zoda) for the entire period of vaccination.

Alena asks:

Hello, my name is Alena. I am very worried about such a question. On January 13, my brother served a mad dog, the diagnosis was confirmed. Signs of the dog appeared in 12 days. Brother and our whole family went through a cocaine vaccination and anti-liblical immunoglobulin. 6 months passed, is there another danger of disease development? Very worried about this. Thanks.

Natalia asks:

Good day!
Is there any way and after conducting rabies from rabies prohibitions or restrictions on the visits to pools or water parks and, if there is, why? Unfortunately, the doctor was not able to explain in the traumapank, and the question is very relevant, thanks in advance!

Recommendations after vaccinations: not to use alcohol for at least 6 months, not to overcool, do not overheat and not exposed to long solar effect. All of the above procedures can reduce vaccination efficiency.

julia asks:

such a question, I was bitten by the dog, today there was 1 vaccination, all of them 6. It would be enough that the dog is not mad, it is possible to take alcohol, but the vaccinations will continue. If there is no, what can happen?

Olga asks:

Bitting a stray dog. In the first time the vaccination course and wanted to ask if it was possible to leave abroad (namely to Domenican) when will the gap between injections of 14 days? If not, is it really dangerous (eliminating the possibility of overheating)

In the event that you have already begun to go through rabies vaccination, it is impossible to interrupt it - it may threaten the emergence of rabies. Overheating, as well as supercooling during the vaccination rate is extremely undesirable, as well as reinforced physical exertion and overwork. All listed factors can reduce the effectiveness of the vaccine. Therefore, such overloads are better to avoid. If you still accept a decision on the trip, be sure to complete the vaccination rate upon arrival, since only a complete course of vaccination vaccine vaccine will be able to protect you from infection with rabies. More about rabies, its manifestations, as well as vaccination against this disease, you can read in our thematic section with the same name: rabies.

Alexander asks:

Tell me, I am treated from depression, you need to take such medicines as: cipralex and hydrocheums. I am pierced with imuneoglobulin 15 mg. 0.3.7 from rabies and from OS tetanus - 0.5. Need to do the fourth tomorrow, is it all compatible? I have a panic attack well-being of a general condition, fear for your health ...

In the event that you started a vaccination course against rabies, it is necessary to make all four vaccinations, otherwise, immunity to rabies will not be a risk of infection with this disease. More information about the causes of rabies, its clinical manifestations, methods of prevention, you can read in our medical information section with the same name: rabies. Conducting vaccination against the background of the drugs listed by you (in the absence of allergy on them) is not contraindicated.

Katya asks:

After the 2nd vaccination, the temperature rose, the weakness is very strong, dizziness on the day of vaccinations and headaches. Lasts a few days.
Are all listed symptoms by side effects and how long will they manifest themselves? And is it normal at all?

Yes, unfortunately, such a reaction to the introduction of the vaccine is possible. It is necessary to take an antihistamine (Claritin, Tueva, Erius) for 3-4 s days, as well as the antipyretic drug (for example, ibuprofen). Before entering the following vaccine (per day before administration), it is necessary to re-accept the antihistamine drug, before administering the vaccine - the antipyretic agent. Such measures will be able to prevent the development of adverse reactions. Your condition should improve after 2-3 days, if this does not happen, be sure to consult your doctor for a doctor. More information about the possible negative effects of vaccination and the methods of preventing their appearance, you can read in our medical and information section on this problem: vaccines and vaccination.

Anton asks:

Human immunoglobulin was introduced after the street cat bite, please tell me, please tell me if overheating, supercooling, stress and exclusion of alcohol reception What products should be avoided?

If you do not have food allergies, no special diet is needed. In the event that you noted any allergic reactions to products or other allergens (for example, on household chemicals, cosmetics) - contact with products or iztem containing allergens should be avoided. More about rabies and the prevention of this disease, you can read in our thematic section with the same name: rabies.

Natalia asks:

Hello! I pass the vaccination course against rabies. You read you that all recommendations on the ban on alcohol reception, supercooling, overheating and overwork must be observed at least 6 months after the last vaccine. In the anti-library center, I was told that it was necessary to observe for 2 months after the last vaccines. How to be?

For the effectiveness of the anti-cancer vaccine, it is recommended to still adhere to a warmer mode within half a year after the last vaccination, this is necessary for the development of immunity. Read more about this disease and the rules of vaccination, read in the cycle of articles by clicking on the link: rabies.

Ksyusha asks:

Hello!
September 22, the husband bit the dog (home) on the street.
29.09 made a torch injection, because From rabies in the trauma, they advised not to do, they say in practice the dogs do not follow.
02.10 found out that the dog died a couple of days ago, but unknown from what could be poisoned?!
From 25.09 He began to root the throat, then the temperature rose, is it possible that these are consequences from the bite?
Pants The dog did not touch, but there is a wound on the body.
Is she infected with rabies?

In this case, I strongly recommend that you appeal to the infectious background doctor to address the issue of vaccination against rabies, as the risk is, especially given the fact that the dog died in a couple of days. Increase temperature may be due to bite. Unfortunately, it is possible to make a diagnosis only after laboratory diagnostics. Do not delay, please visit the doctor. More information about infection with rabies you can learn from the information section of our site: rabies

nastya asks:

i pass the vaccination rate from rabies. December 21 to put the latter, Ie sixth. There is a chance that I'll just forget about her, since about the fifth, I almost missed. Is it very dangerous? Also, very many sites suggest that the action of alcohol is not as harmful, and that there are no scientific justifications, about the dangers of alcohol when putting vaccinations. From here the question is, it is possible not to put the sixth vaccination, and is it possible to drink alcohol ???

nastya comments:

I am interested in what will happen if I do not put the sixth vaccination, and what will happen if I use alcohol. Many of my friends and acquaintances drank during vaccination, and nothing happened. I specifically interested in the consequences, and not recommendations .. if possible. Thanks in advance.

If you do not put the vaccine and you were infected with rabies virus, then you will have a disease, because Vaccination was not fully completed and normal, adequate immune response. When taking alcohol, the vaccine effect also decreases, which can also lead to a deterioration in the state. You should not rely on situations when your friends have passed safely, you are responsible for your health yourself, and not your friends! The rejection of alcohol has never harmed the body, but its use, as well as the rejection of vaccination, is extremely not desirable. Read more about rabies in the cycle of articles by clicking on the link: rabies.

Alexey asks:

I apologize for the month of the same question, but I still want to clarify more specifically about alcohol. Are there any "safe" doses? For example, a bottle of beer or 50g whiskey / brandy can already adversely affect or it is not critical.

Please specify what you understand under the word Safe doses, safe doses for what? What can affect alcohol when using 50 grams?

Alexey commented:

Question to the recommendation:

In the event that you started the vaccination course, all of the above recommendations are recommended to be observed within the next 6 months, in order to avoid the development of side effects after vaccination. It is for this that it is not recommended to drink alcohol and engage in such sports, where there is a long exposure to sun rays. Try to maximize the recommendations, then the effectiveness of vaccination will be high and side effects will not.
Read more about this disease in the cycle of articles by clicking on the link: rabies.

Alexey asks:

And another question - can I ride a week in a snowboard after 2.5-3 months?

Please specify after which procedure do you want to go to rest?

Alexey commented:

It seemed to me that I wrote in the section "Bans after grafting from rabies" (http: //www..html#viewComments)
Question to the recommendation:
"Regardless of the amount of vaccination, all the requirements are recommended to be observed within 6 months: not to use alcohol, not to transhe away, do not overheat and not exposed to long-term solar effects, in order to avoid the development of side effects after vaccination."

Try not to drink alcohol, because When carrying out vaccination there are no "safe-soluble" doses of alcohol. Also try to avoid hypothermia and overheating. Compliance with all recommendations will avoid hazardous complications and lead to maximum vaccine efficiency. Read more about vaccinations in the cycle of articles by clicking on the link: vaccination.

Alena asks:

Good day. The last vaccine was in May. To this day, I periodically appear temperatures 37. Is it normal? After all, the vaccine is still acting half a year after the last injection or am I mistaken?!

Please specify what kind of vaccine was introduced. After that, we will be able to answer in detail the question of interest. You can get more detailed information about vaccination in the thematic section of our site by clicking on the link: Vaccination

Irina asks:

Hello! I make a vaccination of cocaine on schedule. Already quilted 4 vaccinations.
Before the fourth accepted Supratin, because During the third, my hand fell down and there were dizziness. Is it possible to take suprastin? And then it is said to me that it is impossible, it can reduce the effect. Moreover, the second vaccine I did a nurse into the buttock area. Again, I did not know that it would be necessary to enter her shoulder muscle and only then I read that it was impossible to the buttock. This can also reduce the effectiveness of the vaccine? What should I do in these cases? Thanks in advance.

As a rule, this vaccine is introduced into the deltoid muscle of the shoulder, but in practice it is often resorted to the introduction of intramuscularly. In the event that an allergic reaction to the vaccine is observed, the use of antihistamine drugs is shown, in particular, suprastin. Suprastin does not reduce the effectiveness of rabies vaccine. More on this issue you can learn from the section: Frenzy

Vladimir asks:

Recently passed a course of treatment against rabies (coca). Can I visit the gym (weightlifting)?
And another question: a rash appeared on the hands of hands, can it be a reaction to injections? I just recently had a "small" hypothermia. On the street slightly warmed and I was hot in my usual autumn clothes (I was sweated), and when I returned home on the floor there was a strong draft

During the year after the introduction of rabies vaccine, it is not recommended to abuse exercise. Visiting the gym is desirable to minimize, limiting the classes with soiling exercises. The rash that appeared is unlikely, which is associated with vaccination. I recommend you to visit the Dermatologist's doctor to evaluate the character of rashes, after which the attending physician will be able to appoint adequate treatment and give further recommendations. More information about the disease with rabies, vaccination and prevention, you can from the themed section of our site by clicking on the link: rabies

Anton asks:

Good day! I was made by the 6th grafting of the Cocaine, and inhabin was prescribed (antiviral and immunomodulatory). Will Inhavirin vaccine efficiency?

The drug Inhavirin does not reduce the efficiency of the Cocca vaccine, so you have nothing to fear. More information about the disease with rabies, its treatment and prevention you can get information in the relevant section of our site by clicking on the link: rabies

Tatiana asks:

My dog \u200b\u200bbit my dog, the wound is small, but deep, immediately went to the traumapunk. I made a vaccination from the tetanus and from rabies, but since my dog \u200b\u200bdid, and she was made from rabies and now healthy, can you not do the remaining 5 vaccinations?

As a rule, if vaccination against rabies has begun, it must be carried out to the end. More information about questions you are interested in, learn more about such a disease, like rabies, its prevention can be in the thematic section of our site by clicking on the following link: rabies

Tatiana comments:

Doctors said that if they do not need to give a certificate, it's not necessary to pass the full course, and the dog has been biting (all times it was provoked by ourselves) of another person and vaccinations and everything is fine with people. I'm wondering because the doctor only accepts By recording and today, when I need to do the second injection in the idea, there was no record already and I did not accept me in the Polyclnick

In the event that the dog is surveyed by the veterinarian and no suspicion of rabies were detected, and the vaccination of the animal was carried out in full, the failure of further vaccination is allowed. More on this issue, you can get information in the section: Frenzy

Alena asks:

Good day! Please tell me, I made the last vaccination of rabies on November 20, 2013, and for 22.11 I have appointed injections "Bothex" is it not dangerous? Need to postpone the injections and how much? And is it possible to prick hyaluronic acid (cosmetic procedures on the face)
Thanks in advance for the answer.

According to the instructions for the use of rabies vaccine, the drug Botox, hyaluronic acid is not contraindicated, so they can be applied. Read more about such a disease like rabies, vaccinations and recommendations after conducting it in the thematic section of our site by clicking on the link: rabies

Alice asks:

Yesterday I made the last vaccination against rabies and I was upset by a doctor's statement, about the fact that it is impossible to eat alcohol within 6 months. But the new year is nearing! Are there really serious consequences if I drink a bit?

After grafting against rabies, the use of alcohol in large quantities is contraindicated, but a small amount of low-alcohol drink does not bring harm. More about such a disease, like rabies, vaccinations and precautions you can learn from the thematic section: rabies

Alena asks:

I was bitten by the dog, put the first vaccine. But I decided to stop vaccination. Can I just not come to vaccinations or should I need to write a refusal?

In the event that there is a risk of infection with rabies, it is recommended to conduct vaccination in full. The issue of refusal to vaccinate is solved by the attending physician, taking into account all the circumstances. You can learn more detailed information on this issue in the thematic section of our site by clicking on the following link: rabies

Faith asks:

On Tuesday, sickness sick with a high temperature and an increase in lymph nodes. Sigid, on Thursday, returning from the clinic, a courtyard dog bitered me, turned to the grass bar, where I made vaccinations from tetanus and anti-library. Very worried about how it all affects my body. Immunity at the moment is probably reduced, lymph nodes are still inflamed. Anguina I am injecting antibiotics injections intramuscularly and pills. Is it all this?
Vaccinations made at 11.30, now 18.30, temperature 37, now I do not know what is the main reason.
I am 53 years old, a woman.

In this situation, you should not worry - continue the designated treatment for an angina, vaccination should not negatively affect recovery, since the vaccine and course of antibiotics are compatible. You can learn more detailed information on this issue in the thematic section of our site by clicking on the following link: rabies

Faith comments:

Thank you very much for your reply. I want to ask another question. I read one of your articles on the site that if the bite was through intact clothes, then you can not put the vaccination from rabies. I had pants and tights under them, there is no visible damage to clothes myself, the wound itself The bite looks like this: two trails deep into a little bit of the teeth and the inner kropodtek small, the skin slightly soda, blood outward did not go out. Now I doubt me to continue vaccination or not, because. It does not affect immunity very well.

In the event that there was no direct contact of the saliva of the animal with a damaged skin surface, then the vaccination can be refused. You can get more detailed information on the question of interest to you in the relevant section of our site by clicking on the following link: rabies

Dmitry asks:

Hello. Delivened the last injection for 3 days, made anyway. Does he work out?

The displacement of the duration of the introduction of a vaccine for 3 days does not have a significant effect on the end result, so in this situation you have no reason for concern. For more information on this issue, read in the corresponding cycle of articles of our site by clicking on the link: Vaccine and Vaccination

Faith asks:

During the disease, the angina bit the dog, in parallel with treatment from Angina, began to make vaccination. Spearly two weeks after recovery, a complication appeared after angina-nodal erythema, now again intensive treatment with two types of antibiotics, and after three days - another vaccination. In the anti-execution vaccine instructions read that vaccination is contraindicated at the time of exacerbation of infectious diseases. As long as it hangs on my body? I am very upset.

In the event that you are now passing an antibacterial treatment, the vaccination time is desirable to change, so I recommend that you infect infectious examinations about the present state. You can obtain information about vaccines, principles and peculiarities of vaccination in the next section of our website: vaccine and vaccination. Get more information on the question of interest to you, learn more about the prevention of such a disease, like rabies you can in the thematic section of our site by clicking on the following link: rabies

Alexander asks:

Yesterday I was bitten by an access cat, the bite was provoked. Cat adequate signs of rabies is not observed. Is it possible to avoid vaccination? The wound was small on one tooth, and not visible.
What are the chances of getting rabies, I live in Ulyanovsk, in the city feature.

In this situation, it is quite difficult to eliminate the likelihood of rabies disease, therefore, in such cases, vaccination is recommended. Find out more detailed information on this issue, you can obtain information on the testimony for vaccination in the thematic section of our site by clicking on the following link: rabies

Tatiana asks:

Good day. Please tell me if you can take sports nutrition (heiner, l-carnitine, etc.)? And is there any contraindications to physical loads? From the entire course, there is still 1 vaccine, next tomorrow.

If you currently receive rabies vaccines, then physical exertion should be limited, that is, pronounced loads should be excluded, chronic overwork, while ordinary loads are not contraindicated. Sports nutrition has no restrictions on vaccination and can be applied. You can get more information on the question of interest you in the appropriate section of our site by clicking on the following link: Rabies Sports and Sports Nutrition

Anastasia asks:

I had powdered my dog, now it is under supervision. I started making vaccinations against rabies, but I am parallel to the gynecological problem and take an antibiotic (clindamycin). Is it possible to combine? Or do you need to stop your treatment for a while?

Vaccination against rabies can be combined with intake of antibiotics (a combination is not recommended only with immunosuppressants and corticosteroids, since these drugs reduce the effectiveness of an anti-cancer vaccine). You can get more information on the question of interest in the relevant section of our site by clicking on the following link: vaccine and vaccination

If it is reliably confirmed that the animal is great, the vaccination rate after consulting with the attending physician infectiousness can be interrupted. Two-3 weeks after the introduction of the first vaccine against rabies, you can return to the usual way of life without any risk. You can get more information about the question you are interested in in the thematic section of our site by clicking on the following link: rabies. For more information, you can also get in the next section of our website: vaccine and vaccination

Alexander asks:

Good day. I pass the course of treatment from hepatitis C (antiviral therapy) drugs Altevir Interferon Alpha 2B (shots) and ribaverin (capsules). Recently, I was bitten by the hedgehog and I began to progress the vaccinations of coca. I was told that to continue the antiviral therapy of hepatitis C can be. Please tell me if this is compatible with Altiewwir interferon alpha 2b (injections) and ribavmerin with roasted kokav?

It is all true, to continue treatment with antiviral drugs in this situation, it is necessary and necessary, these drugs do not interact with each other and do not reduce mutually efficiency of each other. You can get more detailed information on the question of interest to you in the relevant section of our site by clicking on the following link: viral hepatitis C - diagnosis and prevention. For more information, you can also get in the next section of our website: vaccine and vaccination and in the article cycle: rabies

Alexander

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Preparations for rabies vaccinations.

What is the choice of drugs.

For vaccinations from rabies (anti-policy immunization) use two drugs:

These drugs have different principles of operation.

An anti-cancer vaccine itself is unable to kill the virus. The task of the vaccine is to provide the body with antigenic information about the virus. The immune system is provided to familiarize as if inanimate a model of a real virus, devoid of malicious power, but preserving its identification signs - antigens.

Reading and memorizing information about these identification signs, the immune system acquires the ability to produce specific proteins - antibodies. Antibodies identify the virus on familiar antigens and neutralize it. With the help of vaccine, the so-called "active immunity" for a period of at least 1 year is acquired.

However, this process is about two weeks. All this time, the body remains defenseless before the virus.

What to do? Provide temporary "crutches" - introduce finished antibodies.

Where to take them from? At another body. The drug containing concentrated antibodies is called "immunoglobulin" (used before Preache, crude from foreign protein fractions, called "serum"). Immunoglobulin is obtained from donor blood. The donor may be a person (homologous immunoglobulin) or an animal, in practice a horse (heterological immunoglobulin). In order for the antibodies of the donor in sufficiency, it is pre-immunized by an anti-cancer vaccine. Human immunoglobulin is more efficient than horsepower, therefore, the dose is 2 times less injected. In addition, it is safer.

Immunoglobulin, like any protein molecule, in itself contains antigens. The more alien to the administered protein, the hostility perceives its immune system. Within a few weeks after administration, immunoglobulin is completely destroyed in the body. This type of immunity is called "passive".

Thus, Immunoglobulin provides passive immunity immediately, but for a short time, and the vaccine is active immunity in two or three weeks, for a long time.

The choice of drugs mainly depends on the proposed duration of the incubation period. It is primarily affected by the localization of the bite, as well as the number, depth and vastness of bites.

If there is confidence that vaccinations will have time to create sufficient immunity before the development of the disease (light bites), make vaccinations

If it is impossible to wait until an active immunity appears (severe and moderate severity of bites, as well as late - more than 10 days - the appeal in the bite of any gravity inflicted by an animal unknown or suspicious to rabies) - conduct a combined course of treatment - except the vaccine is also introduced

Anti-cancer vaccine.

The first anti-libery vaccine was offered Louis Paster in 1885. He got a weakened (the so-called "fixed") strain of the virus by 90 consecutive passages of the virus through the bunny brain. Pasteur strain was provided to different countries for the production of vaccines. Since then, a large number of vaccines have been developed. Live vaccines were used for a long time (contained fixed strain live viruses).

For vaccinations from rabies, inactivated (i.e., containing the killed virus) vaccines produced by "tube" on tissue cultures are used.

Doses and vaccination diagrams are the same for children and adults.

After the vaccine is disposal, it must be used for no more than 5 minutes. The vaccine is introduced intramuscularly into the deltoid muscle of the shoulder, and to children under 5 years old - in the upper part of the front-side surface of the thigh. The introduction of the vaccine into the buttock area is unacceptable.

Vaccinated should be under medical supervision for at least 30 minutes.

Indications for the introduction of the vaccine:

Preventive immunization - We instill "Just in case" people who are at high risk - hunters, vetericals, hunts, employees of laboratories working with "wild" rabies virus and others.

Contraindications for preventive immunization:

1. acute infectious and non-infectious diseases, chronic diseases in the stage of aggravation or decompensation - vaccinations are carried out no earlier than one month after recovery (remission)
2. local and systemic allergic reactions to the previous introduction of a vaccine (generalized rash, swelling of quinque, etc.)
3. pregnancy

• Medical and prophylactic immunization - Conducted about the bite

  Contraindications in this case are not.

Side effect of vaccine:

• local reactions - short-term edema, red, swelling, itching, sealing in the place of injections
• general reactions - moderate temperature rise, trembling in limbs, weakness, dizziness, headache, arthralgia (pain in the joints), Malgy (pain in the muscles), gastroenterological disorders (abdominal pain, vomiting)
• it is possible to develop allergic reactions of instant type (urticaria, swelling of quinque)

Anti-cancer immunoglobulin.

An anti-liblical immunoglobulin is shown for a combined immunization course from merry together with an anti-flame vaccine:

• in case of late circulation (more than 10 days) in the bite of any gravity inflicted by an unknown or suspicious animal rabies

Using immunoglobulin two species:

• heterological (horsepone) immunoglobulin
• homological (human) immunoglobulin, obtained from donor blood.

Homologous (human) anti-library immunoglobulin is prescribed at a dose of 20 MO per 1 kg of body weight.
heterologous (horsepone) anti-liblobic immunoglobulin is prescribed at a dose of 40 MO per 1 kg of body weight.

Example: Patient's body mass 60 kg, immunoglobulin activity is used on a package (for example 200 IU in 1 ml)
60 * 40/200 \u003d 12 ml should be introduced to this patient, after determining the sensitivity to alien protein.

As much as possible, the calculated dose should be infiltrated near the wound and in the depths of the wound. If an anatomical location (fingertips, etc.) does not allow to introduce the entire dose of anti-liblique immunoglobulin into tissue near the wound, the residue is injected intramuscularly (in the upper part of the hip or in the deltoid muscle, with the opposite body of the body side of the body).

The introduction of anti-executive immunoglobulin is most effective on the first day after the bite. The entire dose of the drug is introduced in one day. Only with particularly wide and multiple bitees applied by a mad wolf or other carnivorous animals, the introduction of anti-libric immunoglobulin can be reused, in the same dose, after which a vaccination rate is carried out with the obligatory introduction of an additional dose of vaccine for the 60-day from the start of treatment (see) .

Sample on sensitivity to alien squirrel.

20 minutes before the introduction of the drug is carried out sample on sensitivity to alien squirrel - 0.1 ml of divorced (1: 100) immunoglobulin administered intradermal into the front surface of the forearm. An ampoule with diluted (1: 100) immunoglobulin is attached to each dose of an undelivered drug and is in one package with it.

Divised (1: 100) Immunoglobulin at a dose of 0.1 ml is administered intrader into the front surface of the forearm.
after 20 minutes - the sample assessment ⇓
The sample is negative if there is no emulsion of the immunoglobulin swelling or redness The sample is positive, if at the place of administration of immunoglobulin edema or redness 1 cm and more, or there is an allergic reaction
negative test ⇓		sample positive ⇓
0.7 ml of diluted (1: 100) immunoglobulin is subcutaneously introduced to detect overall sensitivity to alien protein.	with the emergence of general reactions after 30 minutes ⇒	Divorced immunoglobulin (1: 100) in doses of 0.5 ml, 2.0 ml, 5.0 ml are injected with intervals of 20 minutes to the subcutaneous shoulder tissue
in the absence of general reactions after 30 minutes ⇓		in 20 minutes ⇓
		0.1 ml of undiluted immunoglobulin subcutaneously introduced
		after 30-60 minutes ⇓
		Antihistamines are prescribed before the first injection of immunoglobulin (DIMEDROL, Supratin, etc.) and recommend that they are administered orally for 10 days. In order to prevent the shock, the subcutaneous administration of 0.1% of the adrenaline solution or 5% ephedrine solution in the age dose is recommended.
		⇓
Enter fractional (in 3 receptions at intervals 15 minutes) the entire dose of immunoglobulin, heated to 37 ° C, gaining a drug for each portion from an unborn ampoule. The entire dose should be infiltrated around the wound and in the depths of it. If anatomical damage is excluded this (fingertips, etc.), the drug can be introduced intramuscularly to other places (muscles of the buttock, hips, shoulder, etc.). The entire dose is introduced within an hour.