Prospective immunogenicity study of multiple intradermal injections of rabies vaccine in an effort to obtain an early immune response without the use of immunoglobulin.

Khawplod, Pakamatz; Wilde, Henry; Tepsumethanon, Saovaluk; Limusanno, Sukunya; Tantawichien, Tanpetch; Chomchey, Pranee; Ayuthaya, Ampai Bungjongkasaena Na; Wangroonsarb, Yongyuth · Clin Infect Dis · 2002

prospective_cohort · Level II

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Abstract

The present study sought to determine whether increasing and accelerating rabies vaccine administration would result in earlier protective levels of neutralizing antibody. Results indicated that the 8-site and double-dose Thai Red Cross intradermal regimens produced higher antibody titers by day 14 but not significantly higher titers by days 5 and 7. Administration of rabies immunoglobulin into and around bite wounds on the first day of rabies prophylaxis should remain the optimal postexposure treatment.

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