"I took the rabies vaccine on time, why are people still gone?"
walking the dog
The 32-year-old Ms. Zhang is usually a dog lover, if she is fine Choose to walk the dog after a meal. One day after get off work, she took her pet dog for a walk in a nearby park alone. Seeing other people walking their dogs, she let her dog play with other puppies, but unexpectedly, someone else's puppies suddenly bit her.
The owner of the dog saw that his dog had bitten a person, so he quickly apologized to Ms. Zhang and took her to the hospital for rabies vaccination. Although Ms. Zhang received the rabies vaccination on time, she eventually fell ill and died, so her family asked the question at the beginning. has obviously been vaccinated against rabies in accordance with the regulations, but why does it still occur? Today, the doctor’s good words will talk to you about this issue.
1. Why did I get vaccinated against rabies virus but died?
vaccine
The incubation period of rabies varies in length, with an average of 1 to 3 months and the shortest 5 days. It should be noted that although the rabies vaccine can prevent rabies, it usually takes about 7 days to produce antibody after the rabies vaccine. In this way, it is possible to get sick and die before the rabies vaccine produces antibodies.
No matter who encounters this kind of rabies virus , which has a relatively fast onset, it can be said to be bad luck. This is because even if you are vaccinated as soon as you are bitten by a dog, you may still be unable to escape bad luck, and it takes time to get the vaccine in the hospital itself.
Viruses and antibodies
In addition, although the rabies vaccine can prevent most rabies, it is not 100%. It does not mean that as long as you get the rabies vaccine, you will be able to produce antibodies. The reason why the rabies vaccine is given 5 shots is to prevent some people from not producing antibodies after one shot. If the rabies virus has spread before the antibody is produced, then the vaccination will definitely have no effect.
There is another possibility that the vaccine itself has certain problems. Although most hospitals now store rabies vaccine in strict accordance with relevant rules and regulations, may still have the problem of improper preservation of the vaccine. If the vaccine is improperly preserved, the rabies vaccine will become invalid, and naturally it will not provide protection. . Hormone
Ms. Zhang may also use some drugs to reduce immunity. Since I don't know much about Ms. Zhang's situation and the person has passed away, it is difficult for me to ask her family. According to my many years of clinical experience, it is possible that Ms. Zhang has used drugs that reduce immunity due to certain diseases, such as chemotherapy drugs, immunosuppressants, glucocorticoid , etc. Considering her age, the possibility of tumors is unlikely, it may be rheumatic disease , and immunosuppressants and glucocorticoids themselves are commonly used drugs for rheumatic diseases. Another point is that many hospitals in my country have abused glucocorticoids. When the body's immunity decreases, it will affect the production of antibodies.
In addition, it is also possible that the hospital did not strictly follow the diagnosis and treatment regulations to carry out the necessary medical treatment for Ms. Zhang. If bitten by a dog, According to the doctor's assessment, if it is a level III exposure (ie, significant bleeding or full-thickness skin rupture, etc.), in addition to the timely vaccination of rabies vaccine, it is also necessary to inject anti-rabies serum or antibodies such as immunoglobulin for rabies. However, in reality, even if the exposure is level III, if you do not inject anti-rabies-related antibodies, but only vaccinate against rabies, the probability of the disease is not high. At the same time, many people refuse to fight against rabies virus antibodies after being bitten by dogs (I don't want to spend more money, I don't think this is necessary), so many hospitals may not strictly follow the relevant diagnosis and treatment regulations.
2. After being bitten by a dog, we should learn to "self-help":
After being bitten by a dog, if we can clean and disinfect in time, it will undoubtedly minimize the probability of rabies.
Wash the wound
After being caught by a dog, the first thing we do is to squeeze out the blood as soon as possible, and then wash the wound. It is necessary to pay attention to washing, not washing. Washing requires flowing water. Although washing can also have a certain effect, the effect is not as good as washing with flowing water. In order to ensure the effect of flushing, the flushing time should be controlled at about 15 minutes. For washing, try to choose sterile water, such as normal saline, distilled water, etc., if possible. If this condition is not available, it is also possible to rinse with tap water or soapy water. However, in order to prevent the microbes in the tap water from infecting the wound, we need to continue to use normal saline after washing.
Then, all we can do is disinfect the wound. disinfection commonly used 75% alcohol or iodophor ,However, because alcohol is more irritating, it may cause obvious pain when using alcohol for disinfection. At this time, try to choose iodophor disinfection.
The last thing we need to do is to go to the hospital as soon as possible. After all, most people who are bitten by dogs are not professionals. Professionals should be given to professional doctors. If the bite site has a deep wound, it may be necessary to perform debridement treatment on the wound to ensure that the infection rate is minimized and the wound healing is promoted.
For doctors, one more important thing is to assess whether a rabies vaccine is needed. After is bitten by a dog, the wound can be divided into three levels, namely level I exposure, level II exposure and level III exposure. Level I exposure mainly refers to the absence of skin damage, which does not include skin damage that is invisible to the naked eye; Level II exposure mainly refers to bites, scratches and wounds without obvious bleeding; Level III exposure mainly Including penetrating skin injuries, unclosed wounds in contact with animals and their secretions, etc.
Among them, the most difficult to distinguish is level I exposure and level II exposure, because in many cases, even if the skin is damaged, it may not be visible to the naked eye. At this time, we can apply alcohol to the bite. If there is no pain, it is level I exposure; if there is obvious pain, it is level II exposure.
anti-rabies serum
The main reason for grading wounds is to better guide treatment measures. For those with level I exposure, rabies vaccine is not required, just wash the wound; level II exposure needs to wash and disinfect the wound, and then vaccinate rabies as soon as possible; level III exposure requires the wound to be cleaned Create,Then get the rabies vaccine as soon as possible, and inject the relevant antibodies against the rabies virus.
The reason why professional treatment measures are introduced here is to hope that everyone can accept formal treatment. If the doctor does not strictly follow the standard treatment, the bitten person can also remind them.
Final summary: If you received rabies vaccine in time and died of illness, it may be related to the rapid onset of rabies, the vaccination did not produce antibodies, the vaccine itself has problems, the use of certain immunity-lowering drugs, the hospital’s treatment measures are not Specifications and so on. After being bitten by a dog, we also need to learn some ways to "self-help"!
I am a good word from a doctor, and I am committed to sharing health knowledge in easy-to-understand language and being a health assistant by your side. If you feel that the writing is good and beneficial to you, please like it and forward it to you. Those who need it, let more people benefit!
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