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Khrisella Salvador
Rabies
Zoonotic disease
Lyssavirus
Rabies
Most acutely fatal infectious disease causing death of 200250 Filipinos per year
<15yo
Male
Dogs
Modes of Transmission
Non-bite exposures
Contamination of intact
mucosa
Inhalation of aerosolized
virus in closed areas
Incubation Period
1-3
months
Factors
Amount
of virus inoculated
Severity
of exposure
Location
of exposure
Pathogenesis
Inoculation
Multiplication in
myocytes
Replication and
dissemination
Penetrate
peripheral nerve
cells
Clinical Stages
Prodromal
Acute Neurologic
Presentation
Encephalitic or furious
Paralytic or dumb
Autonomic manifestations
2-7 days
Coma
Respiratory depression,
cardiorespiratory arrest
Death
Clinical Stages
Antimicrobials recommended
All other category III bites that are either deep, penetrating, multiple, or extensive
or located in the hand, face, and genital area
Immunization: Active
Intradermal Regimen
Immunization
Intramuscular Regimen
HIV infection, cancer, chronic liver disease, on chloroquine and systemic steroids
Immunization: Passive
Rabies Immunoglobulin
Immunization: Passive
HRIG
preferred
History
Multiple
Symptomatic
HIV patients
Vaccinated Animal
Updated vaccination
Pasteurella multocida
Indications
All other Cat III bites that are either deep, penetrating, multiple or extensive or
located in hand, face/genital area
Adults
Children
Amoxicillin/ Clavulanic
500 mg PO TID
Cloxacillin
500 mg PO QID
Cefuroxime axetil
500 mg PO BID
Amoxicillin (prophylaxis)
500 mg PO TID
Pre-exposure Prophylaxis
Pre-Exposure Prophylaxis
END
Thank You