manual on management of drugs

2.2 In case of major exposures:
2.2.1 To apparently healthy and observable, cats and dogs
and
2.2.2 The animal has had at least minimum of 2 Rabies vaccinations with
the last vaccine given within the last 1 year
In such situations, the patient should be advised to observe the animal for a
period of 14 days. Immediate PET should be initiated if behavioral changes or
sickness develops in the animal.
3. Where ever possible, hospital authorities should take necessary action to
establish special rabies treatment units with facilities to handle any emergencies
arising due to administration of equine rabies immunoglobulins.
4. Separate registers must be maintained for each treatment type (serum, 1D2
site schedule, 1D 8 site schedule, 1M 2-1-1 schedule, 1M 5 dose schedule) at
the Rabies treatment clinics. The relevant column should be marked with a (√ ).
Format for the Register for different schedules:
Type of schedules .
Serial
No
Date Name of the
patient
OPD
No
Serum 1 st dose 2 nd dose 3 rd dose 4 th dose 5 th dose
5. all institutions using Rabies immunoglobulin and anti rabies vaccine
should send a monthly return to Consultant Virologist, Dept. of Rabies
and Vaccine QC, MRl, Director, Public health Veterinary Services, 6 th
Floor, 555/5, Elvitigala Mw,Colombo 05 and to the Director/MSD, before
collection of the next months vaccine supplies from MSD/RMSD.
Please note that anti Rabies serum and vaccine stocks will not be issued if the returns
are not sent in time. Heads of institutions will be responsible for any shortages of
supplies due to this reason.
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