DOG BITE TRETMENT
🐶 Rabies – Dog Bite Prophylaxis (PEP) 1. Wound Management Immediate washing of the wound with soap and running water for at least 15 minutes . Apply povidone-iodine / alcohol-based disinfectant . Do NOT immediately suture unless necessary (delayed primary closure preferred). 2. Classification of Exposure (WHO Guidelines) Category I : Touching/feeding animals, licks on intact skin → No PEP required . Category II : Nibbling of uncovered skin, minor scratches without bleeding → Vaccine only . Category III : Single/multiple transdermal bites/scratches, licks on broken skin, contamination of mucous membrane, exposure to bats → Vaccine + Rabies Immunoglobulin (RIG) . 3. Rabies Vaccine (for Category II & III) WHO-approved cell culture vaccine (e.g., Purified Vero cell vaccine, PCECV). Schedule (IM, Essen regimen): Days 0, 3, 7, 14, 28 (5 doses in deltoid/thigh). Intradermal (ID, Thai Red Cross regimen): Days 0, 3, 7, 28 (2-site ID, 0...