Dog Bite in Delhi

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#1 Apr 26th, 2013, 16:54
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  • JoeAt390 is offline
#1
Hello!

I was bitten by a dog this morning in Old Delhi. I washed it out immediately (although admittedly not as well as I should have, as I didn't know how important that was). The dog didn't rip my pants, but I was bleeding a little, and quite sore. Some helpful people who were nearby put me in a rickshaw for the hospital.

I went to Lok Nayak Hospital (their emergency wing), where they gave me a tetanus and a "rabifun" (sp?) shot. I had the rabies vaccination in 2009, so do not think I need the immunoglobin. BUT I do have two questions:

1. Does anyone know about this hospital's reputability? I know the shots need to be stored at the proper temperature- would they know this? Any info on this place?

2. I need to get follow up shots- does anyone know of hospitals in Hampi and Goa (baga) that would do this?

Thank you!!!
at390.com
#2 Apr 26th, 2013, 19:43
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bites are common here, so please do not get unduly worried.

I think it is called rabipur. it should be available all over india. cost is probably about Rs 300 a bottle. and everyone knows that it needs to be refrigerated.

just make sure that it is not expired, and that the liquid is not cloudy.

you might need to get 5 shots in a specific time frame, i mean on specific days, starting with the first shot day as 0.

if the dog was not visibly salivating or mad, there is a good chance that you need not worry unduly. but you still need to get the complete course.

did the doctors you met make any recommendations as to how many shots you need?

please read this thread for more information.... http://www.indiamike.com/india/jammu...-lake-t192082/
#3 Apr 26th, 2013, 19:59
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#3
Number of shots: I believe it is three for those with pre-exposure vaccination, and five for those without.

Congratulations to Joe for doing the right thing: all too many people stop to spend time on internet forums before going to the hospital. That's taking a bit too much risk with one's life for my liking!
#4 May 2nd, 2013, 10:54
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Originally Posted by Nick-H View Post Number of shots: I believe it is three for those with pre-exposure vaccination, and five for those without.

Congratulations to Joe for doing the right thing: all too many people stop to spend time on internet forums before going to the hospital. That's taking a bit too much risk with one's life for my liking!
Nick, I could never find a straight answer to this; does pre-exposure vaccination last your entire life, or does it 'run out', so to speak, requiring a booster shot?

JoeAt390:-

Sorry to hear about that, my friend assures me that dog bites are extremely painful. As for follow up shots, I'd probably stay near a big urban center such as Delhi, Bombay, Bangalore, Chennai etc, because you will find a much higher level of care. I don't think there is much around Hampi, no idea what Goa is like. India has some of the best and the worst healthcare in the world, be sure you get the former.
#5 May 2nd, 2013, 11:02
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The vaccine is called Rabipur and is administered along with a Tetanus jab. You will probably require 5 shots, one in the first 24 hours, one in 3 days, one in 7 days, one in another 7 days and last one 14 days after that.

India's hospitals are well geared for dog bites and there is a strong awareness here of the need to get injections to combat possible rabies. Almost all hospitals will have the vaccine available and will give you the shots required.
Indianworker
#6 May 2nd, 2013, 11:10
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The OP might not find Anti Rabies shots in Hampi, but will be easy to get in Hospet.

How do I know? My sister lives there and her daughter was bitten and she got the shots without any trouble.
#7 May 2nd, 2013, 14:30
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Originally Posted by Golden Chapati View Post Nick, I could never find a straight answer to this; does pre-exposure vaccination last your entire life, or does it 'run out', so to speak, requiring a booster shot?
Same here: I don't know either. It's now a few years since I had mine.

There doesn't seem to be a specific time limit, but it is possible to get a lab test to assess the number of rabies antibodies in the blood.
#8 May 3rd, 2013, 01:49
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Originally Posted by Golden Chapati View Post Nick, I could never find a straight answer to this; does pre-exposure vaccination last your entire life, or does it 'run out', so to speak, requiring a booster shot?
It does 'run out'. I know this from the specialists at the institute for tropical medicine at a local university hospital. But I don't know or remember after how many years you need a booster shot, and it may vary from person to person anyway.

I got 3 pre-exposure injections 2001, was bitten in 2004, had 4 post-exposure shots, and got a booster in 2009.
#9 May 3rd, 2013, 02:00
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#9
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it may vary from person to person anyway.
That might explain why I have only heard of getting the test (titre? Is that the word?) rather than a stated period as is the case with some other immunisations. Whenever I've mentioned it to a doctor, they always tell me not to worry about it ...which is actually one of the most worrying things a doctor can say, apart from, "keep still, this won't hurt."
#10 May 3rd, 2013, 02:06
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Originally Posted by Nick-H View Post That might explain why I have only heard of getting the test (titre? Is that the word?) rather than a stated period as is the case with some other immunisations.
Yes, I think titre or titer is the word. It's the same for Hep B, for example. In my own case, the titre was not high enough after three injections, so I needed a fourth one. As for immunity, in some people it lasts 10 years, in others 12 or 15. But sometimes a titre test may be difficult and expensive which is why doctors might opt for a booster shot right away, i.e. after a certain number of years.
#11 Jun 7th, 2013, 18:58
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#11
Hey all,

Thank you for your responses! Everything worked out very well. Because I had the pre-bite vaccine, I only needed two booster shots. One on day 0 and one on day 3. That means I didn't need to deal with the situation in hampi or goa! (although there are loads of dogs in goa...). When I went back to Lok Nayek, I was a bit less frazzled (and this time there was someone who spoke better English). Although the emergency wing was a bit hectic, they did seem to know what they were doing with regards to the rabbies shot (and I'm still healthy!).

I wrote more about it hear, if you want the play by play haha. http://at390.com/2013/06/06/how-to-g...-dog-in-delhi/
#12 Jun 7th, 2013, 19:10
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Sorry for the multiple posts. My computer was acting up.

In short... Thank you all for your input and info. It was reassuring and helpful.

B/c I had recieved the vaccine prebite, I only needed two post exposure shots (on days 0 and 3). When I returned to Lok Nayek, I was a bit less frazzled and was able to take in the surroundings more clearly. Despite being a hectic place, they did seem to have a good idea of how to deal with dog bites. In fact, I wasn't the only person there to get a booster that hour! (and I'm still healthy )
#13 Jun 7th, 2013, 22:20
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#13
Congratulations on doing everything right. Note that careful immediate washing of the wound is often strongly indicated..
#14 Jan 8th, 2019, 03:07
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#14
Here's what happens when you do not do everything right after the dog bite -

CDC: Va. woman died from rabies after yoga retreat in India

https://wtop.com/virginia/2019/01/cd...reat-in-india/

So much for the downward facing dog!
#15 Jan 8th, 2019, 05:25
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  • Nick-H is online now
#15
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Here's what happens
"tl;dr" --- she died. It is the inevitable outcome of rabies. Since the previous posts in this thread, I have heard of two deaths, in America, of visitors to India, who did not take action after been bitten. Direct reports from friends of the deceased.

One of my friends is a doctor. The victim, his friend, was also a doctor, of Indian origin too, who absolutely should have known better. It is not a story I can easily forget, and it is a risk that I took very seriously before I heard it.
~
Life gets aadhar every day.
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