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Dear Ashok,

As evidence based medicine were to have it, I am forwarding an important

article. i do not think rabies vaccination was required

Seema Kapoor

Ann Emerg Med. 1985 Feb;14(2):126-30.

Rat bites: fifty cases.

Ordog GJ, Balasubramanium S, Wasserberger J.

A prospective study of 50 patients with uninfected rat bite wounds was

undertaken to determine the natural incidence of wound infection without

prophylactic antibiotics. All open wounds were cultured; bacterial isolates

were cultured from 30% of wounds. Of bacterial isolates, 43% were

Staphylococcus epidermidis and the remainder were Bacillus subtillus,

diphtheroids, and alpha hemolytic Streptococcus. Only one patient (2%)

developed an infection. Seventy-two percent of the bites occurred while the

patient was sleeping, probably accounting for the fact that 84% of the

wounds were on the exposed areas of the upper extremities and face.

Treatment recommendations include good surgical management and avoidance of

prophylactic antibiotics due to a low natural infection rate. If the wounds

become infected, then a cephalosporin or penicillinase-resistant penicillin

should be sufficient for treatment with appropriate surgical care of the

wounds. Rabies prophylaxis usually is not required, but we suggest that

tetanus prophylaxis is mandatory because most of our patients were deficient

in this regard

Urgent

> Dear Seema / other pediatricians,

>

> I need this info ASAP.

>

> My niece who is in Nashik probably got bit one her ear by a rat 7-10 days

ago.

>

> Here in Chicago area the only cases of Rabies seen are from bat / rodent

bites.

>

> Local pediatrician saw her and said everything should be OK.

>

> Can someone confirm that asap.

>

> ashok bhaskar 1984

>

>

>

>

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Guest guest

Dear Ashok,

As evidence based medicine were to have it, I am forwarding an important

article. i do not think rabies vaccination was required

Seema Kapoor

Ann Emerg Med. 1985 Feb;14(2):126-30.

Rat bites: fifty cases.

Ordog GJ, Balasubramanium S, Wasserberger J.

A prospective study of 50 patients with uninfected rat bite wounds was

undertaken to determine the natural incidence of wound infection without

prophylactic antibiotics. All open wounds were cultured; bacterial isolates

were cultured from 30% of wounds. Of bacterial isolates, 43% were

Staphylococcus epidermidis and the remainder were Bacillus subtillus,

diphtheroids, and alpha hemolytic Streptococcus. Only one patient (2%)

developed an infection. Seventy-two percent of the bites occurred while the

patient was sleeping, probably accounting for the fact that 84% of the

wounds were on the exposed areas of the upper extremities and face.

Treatment recommendations include good surgical management and avoidance of

prophylactic antibiotics due to a low natural infection rate. If the wounds

become infected, then a cephalosporin or penicillinase-resistant penicillin

should be sufficient for treatment with appropriate surgical care of the

wounds. Rabies prophylaxis usually is not required, but we suggest that

tetanus prophylaxis is mandatory because most of our patients were deficient

in this regard

Urgent

> Dear Seema / other pediatricians,

>

> I need this info ASAP.

>

> My niece who is in Nashik probably got bit one her ear by a rat 7-10 days

ago.

>

> Here in Chicago area the only cases of Rabies seen are from bat / rodent

bites.

>

> Local pediatrician saw her and said everything should be OK.

>

> Can someone confirm that asap.

>

> ashok bhaskar 1984

>

>

>

>

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Share on other sites

  • 1 month later...
  • 1 month later...

Urgent

> Dear Seema / other pediatricians,

>

> I need this info ASAP.

>

> My niece who is in Nashik probably got bit one her ear by a rat 7-10 days

ago.

>

> Here in Chicago area the only cases of Rabies seen are from bat / rodent

bites.

>

> Local pediatrician saw her and said everything should be OK.

>

> Can someone confirm that asap.

>

> ashok bhaskar 1984

> Dear Ashok,

Only local wound should be treated accordingly.There

is no need for antirabies treatment.

arvind garg 1974

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