Doses of Rabipur,Role of Ambroxol in Acute Asthma

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question
A 5 years boy was bitten by a domestic dog 9 months back. He received 3 doses of rabipur on 0,3 &21 day. The dog is still alive. Now, again he is bitten by a street dog .,and the dog is behaving peculiarly. the dog is traceless. Now, what will be his treatment regime? 2. a 6 years boy is having recurrent attacks of parotitis with fever. He is immunized against MMR. How will the boy be managed? What will be the d/d? 3. is there any role of ambroxol in acute asthma?
Answer
This boy requires to be given only 2 doses of any tissue culture vaccine on day 0 and on 7th day.The previous 3 doses will act as pre-exposure prophylaxis. If there is fresh bite within 5 years, one needs to give only 2 doses at 0 and 7th day .There is no need of giving rabies immunoglobulin with pre-exposure prophylaxis.After 5 years of previous dose,if there is any bite minimum of 5 doses schedule to be followed. 2) Apart from mumps, one should rule out HIV and salivary duct calculus for recurrent parotitis. Do a USG of parotids and HIV ELISA. 3) There is no role of ambroxol in asthma. Back to All Questions

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