- General management of mammalian bites
- Wound cleaning with soap or irrigation with a lot of normal saline water.
- Prophylactic antibiotics (may be considered)
- Treatment of subsequent infections.
- - Management of a suspected bite by rabid mammal
- See bullet (2) above under the “General management of mammalian bites”
- Post-exposure prophylaxis (PEP) with anti-rabies vaccine in case of the following: a bite from wild or unprovoked or a sick looking domestic animal; the presence of Negri bodies in the brain of the biting animal; severe bites and bites of the head, neck, face, hands or fingers.
- The dose of rabies PEP is administered as follows:
* Passive immunization by infiltration of the wound with the rabies immunoglobulin at a dose of 20IU/kg then 20IU/kg IM at gluteal region.
* Active immunization in patients not earlier vaccinated:
**6 inj of 0.1ml intradermal (forearm or upperarm) given after bite, immediately, 3, 7, 14, 30 and 90 days
1ml IM given after bite, immediately, 3, 7, 14 and 21 days
* Post-exposure prophylaxis (PEP) for a person previously vaccinated against rabies: 1-mL IM injections on days 0 and 3.