Rabies is a fatal neurological infection caused by the rabies virus, primarily transmitted through bites or scratches from infected animals. The virus attacks the central nervous system, and without prompt treatment, it results in death. Modern medicine focuses on eliminating the virus and controlling symptoms in rabies treatment.
The core of rabies treatment involves immediate measures to prevent the virus from further invading the nervous system. This includes prompt wound cleaning, administration of rabies vaccine, and in some cases, the use of rabies immune globulin (RIG). Early treatment is crucial for improving survival rates.
Rabies treatment mainly comprises two types: post-exposure prophylaxis (PEP) and treatment after viral infection. PEP refers to preventive measures taken before symptoms appear after being bitten by an infected animal, including rabies vaccination and immune globulin injection.
The rabies vaccine stimulates the immune system to produce antibodies against the rabies virus, thereby preventing viral replication and spread. Rabies immune globulin provides immediate passive immunity by supplying antibodies to neutralize the virus.
Rabies treatment is applicable to all individuals suspected or confirmed to have been exposed to the rabies virus, especially those with high-risk exposure, such as bites or scratches from wild animals.
Indications also include individuals who have not completed rabies vaccination or have failed to receive timely vaccination after exposure.
Rabies vaccine is typically administered via intramuscular injection, with dosage and frequency depending on individual circumstances and severity of exposure. The standard PEP regimen usually involves an initial dose immediately, followed by doses on days 3, 7, 14, and 28, totaling five doses.
Rabies immune globulin is generally administered immediately after exposure, at a dose of 20 IU/kg, injected subcutaneously near the bite or scratch site.
Common side effects of rabies vaccines include pain, swelling, and redness at the injection site, mild fever, and fatigue. These side effects are usually mild and resolve on their own within a short period.
Rarely, allergic reactions such as throat swelling, difficulty breathing, or severe skin reactions may occur. Immediate medical attention is required in such cases.
Pregnant women, breastfeeding women, and individuals with severe immunodeficiency should use rabies vaccines and immune globulin under medical supervision. Those allergic to vaccine components or who have previously experienced severe allergic reactions to rabies vaccination should avoid use.
Rabies vaccines and immune globulin may interact with other immunosuppressants or immunomodulators, affecting their efficacy. Patients should inform their healthcare provider of all medications and supplements they are using before treatment.
Data shows that timely PEP treatment significantly reduces the incidence of rabies. Studies confirm that complete vaccination regimens can reduce rabies mortality from nearly 100% to almost 0%.
Currently, there are no alternative treatments for rabies. Vaccines and immune globulin remain the only effective therapeutic options.
Rabies treatment typically includes rabies vaccination and rabies immune globulin, which may cause side effects such as swelling, redness, or pain at the injection site. To alleviate discomfort, patients are advised to apply cold compresses after injections and rest appropriately. If severe allergic reactions such as difficulty breathing or facial swelling occur, seek medical attention immediately.
What lifestyle adjustments should patients make during rabies treatment?During rabies treatment, patients should avoid strenuous activities to prevent affecting immune response. Maintaining good sleep habits, a light diet, and consuming foods rich in protein and vitamins can help the body recover better. Avoid contact with unvaccinated animals to reduce infection risk.
What is the success rate of rabies treatment?If treatment is administered promptly after exposure, the success rate is very high. Medical data shows that most patients who receive timely treatment can fully recover. However, once symptoms appear, treatment effectiveness diminishes significantly, making early medical intervention crucial.
How long does rabies treatment take?Rabies treatment usually involves multiple injections, with the duration depending on the extent of infection and medical advice. Typically, the standard course includes 5 to 7 injections spaced several days to a week apart. After completing all injections, patients should follow up regularly to ensure full recovery.
What follow-up examinations are required after completing rabies treatment?After treatment, patients should follow their doctor's instructions for follow-up examinations to ensure the effectiveness of treatment and monitor for any potential side effects. Usually, several follow-up visits are scheduled to check immune response and overall health. Maintaining good lifestyle habits during this period is recommended to avoid unnecessary health risks.