SEVERE CASE:
Inflammation of the brain and spinal cord, hyperactivity, hydrophobia, loss of consciousness, death.
Precautions against rabies, including avoiding animal bites and vaccination (pre-exposure, for travellers to endemic areas), should be considered.
- Pre-exposure immunization does not eliminate the need for careful wound management and post-exposure immunization.
Avoiding risk situations for animals bites. Thorough wound cleaning, initiated as soon as possible after exposure.
Vaccination and immunoglobulin (post-exposure, for all exposed people).
- It is important to consider the destination, the purpose and the duration of the trip as well as the patient’s access to healthcare and availability of rabies biologics.
- For post-exposure vaccination to work, it is essential that medical expertise be available on an urgent basis.