Hello my daughter is 7 yrs old she has been bittne by a 4 yr old dog that has a history of roaming loose in the neightborhood all hours of the night. animal control confirmed with me yesterday that the dog has no current rabbies vacine, my daughter has about 15 small puncture marks and three large claw scrathes all of which bleed some have gotten swollen and red. its now going into day three of injury. the local er says no need to have anti rabbies but I dont agree with them what are your thoughts. She ran a fever in the first 24 hours and then has vomited from the augmentain she cant keep it down??
Hello In my opinion Your daughter should get anti rabies vaccine as early as possible. Post exposure prophylaxis of RABIES. Human rabies immune globulin (RIG). Administer 20 IU/kg body weight. If anatomically feasible, the full dose should be infiltrated around and into the wounds (as she is having 15 small and 3 large wounds, so this is feasible) . Vaccine=== Human diploid cell vaccine (HDCV) or purified chick embryo cell vaccine (PCEC) 1.0 mL intramuscular (I M) (deltoid area), one each on days 0, 3, 7 and 14. In my opinion anti rabies vaccine in most important for your daughter. Get it as soon as possible.