Have an open wound of about 2 inches on my foot. Have washed it and put antisepctic cream on.

 

Do I need to see a doctor?

get a rabies shot

1 minute ago, tgw said:

get a rabies shot

How soon do I need it?

2 minutes ago, RickG16 said:

How soon do I need it?

you need 2.

one today and one in 3 days.

seeing a doctor is a good idea in any case.

 

you might also need immediate injection of immunoglobulin

 

don't act as if it's no big thing, by the time you will be able to tell you were wrong, it will be too late.

 

https://www.thaitravelclinic.com/blog/travel-medicine-issue/what-should-i-do-if-i-am-bitten-by-a-dog.html

Edited January 6, 20224 yr by tgw

2 minutes ago, tgw said:

you need 2.

one today and one in 3 days.

seeing a doctor is a good idea in any case.

Thanks. Hopefully the hospital will know what I am talking about. Is rabies called rabies in Thailand? lol 

5 minutes ago, RickG16 said:

How soon do I need it?

Tomorrow.

If you are unvaccinated here is the schedule,

Dose: Previously unvaccinated persons should receive 5 intramuscular doses (1 mL each) of Imovax Rabies vaccine, one dose immediately after exposure (Day 0) and one dose 3, 7, 14, and 28 days later.

 

Been there done that in Thailand about 4 years ago

Edited January 6, 20224 yr by ozfarang

1 minute ago, ozfarang said:

Tomorrow.

If you are unvaccinated here is the schedule,

Dose: Previously unvaccinated persons should receive 5 intramuscular doses (1 mL each) of Imovax Rabies vaccine, one dose immediately after exposure (Day 0) and one dose 3, 7, 14, and 28 days later.

So not two shots... but five?! 

1 minute ago, ozfarang said:

Tomorrow.

If you are unvaccinated here is the schedule,

Dose: Previously unvaccinated persons should receive 5 intramuscular doses (1 mL each) of Imovax Rabies vaccine, one dose immediately after exposure (Day 0) and one dose 3, 7, 14, and 28 days later.

Yes, that's the treatment my doctor administered when I was bitten by a soi dog.

1 minute ago, RickG16 said:

So not two shots... but five?! 

Correct

1 minute ago, RickG16 said:

So not two shots... but five?! 

yes, correct, if you are not already vaccinated, you need 5 shots.

in any case, the sooner you get the first shot, the better.

1 minute ago, RickG16 said:

Thanks. Hopefully the hospital will know what I am talking about. Is rabies called rabies in Thailand? lol 

Just tell them you've been bitten by a dog. You won't be the first person they have treated for that.

 

Oh, and just to be on the safe side, lock yourself away during the next full moon...

 

 

2 minutes ago, tgw said:

yes, correct, if you are not already vaccinated, you need 5 shots.

in any case, the sooner you get the first shot, the better.

There's also a 4-shot regimen to be completed in a fortnight but maybe Thai rabies is different?

You should probably get a tetanus shot if you have not had one within 5 years,

the recommendation,

You will need a tetanus shot if:

1. Your wound was caused by something that was clean and your last tetanus shot was longer than 10 years ago.
2. Your wound was caused by something that was dirty and your last tetanus shot was longer than 5 years ago

18 minutes ago, RickG16 said:

How soon do I need it?

I'd go now. Rabies is pretty much 100% fatal and a horrible way to die.

I was bitten two years back.

Go immediately to any hospital and they will know what to do.

I had a total of 5 shots over about 6 weeks around B350 a shot.

john

14 minutes ago, Dmaxdan said:

Oh, and just to be on the safe side, lock yourself away during the next full moon...

 

 

Huh? 

I would suggest that you have a Category 3 Bite.

Prolonged cleansing of the wound or contact site for 15 minutes to eliminate the virus, as soon as possible after exposure, is of critical importance.

You should attend hospital ASAP.

You will need either Human Rabies Immunoglobulin (preferable) or Equine Rabies Immunoglobulin and also a regime of Rabies vaccine.

 

Rabies - Clinical guidelines (msf.org)

 

Do directly to a hospital.

I had your experience 8 weeks ago in Australia, “a good scratch” I thought as I gave it a good dose of antibacterial.

4 days later, it started to smell in spite of my regular swabbing and redressing.

Short story is 3 bags of iv antibiotics, 1 x tetanus, 1 x rabies (we don’t have rabies in Australia, but the dog wasn’t known to me) general anesthetic surgery to clean out the necrotising tissue 1.5 days in hospital, a week off work and medical appointments to get the open wound inspected and redressed 3 times a week for 5 weeks.

Not so long ago, I’d have lost my leg and or my life.

Go to the emergency ward at the nearest hospital.

8 minutes ago, RickG16 said:

Huh? 

Was a joke about werewolves. Never heard of them?

1 minute ago, HighPriority said:

Do directly to a hospital.

I had your experience 8 weeks ago in Australia, “a good scratch” I thought as I gave it a good dose of antibacterial.

4 days later, it started to smell in spite of my regular swabbing and redressing.

Short story is 3 bags of iv antibiotics, 1 x tetanus, 1 x rabies (we don’t have rabies in Australia, but the dog wasn’t known to me) general anesthetic surgery to clean out the necrotising tissue 1.5 days in hospital, a week off work and medical appointments to get the open wound inspected and redressed 3 times a week for 5 weeks.

Not so long ago, I’d have lost my leg and or my life.

Go to the emergency ward at the nearest hospital.

 

That's pretty crazy from what seemed like just a scratch. It's good you went when you did. Even if the animal doesn't have rabies, they have tons of harmful bacteria in their mouths. Even a human bite can be dangerous for the same reason.

 

.

Edited January 6, 20224 yr by HighPriority
Unable to post pic

On presentation to hospital

 

 

37 minutes ago, Mutt Daeng said:

Yes, that's the treatment my doctor administered when I was bitten by a soi dog.

Did you get the tetanus one?

Edited January 6, 20224 yr by RickG16

10 minutes ago, Ohyesuare said:

Was a joke about werewolves. Never heard of them?

????

If the dog is known to you,and alive after 10days or so little chance of rabies,get wound cleaned etc    took 10stiches or so to seal wound,Thai owner paid

Between the various levels of humor and genuine advice you definitely need to go and get precautionary  shots for rabies and accompanying tetanus ones .

While rabies is not uncommon in Thailand nor are  bad tempered dogs which can and also often do bite people but that does not mean they are rabid.

I am not at all sure the regimen of shots  being cited is  standard  because i and my wife both presented to our local Govt. hospital a few years  back after being nipped by rescued a puppy that started to display all the hallmarks of rabies. Total of  3 visits. All up cost less than 1000 Baht.

I was trying to post a couple of salient pics on the pitfalls of not going to hospital for our op, but forum says no…

 

 

1 minute ago, fredscats said:

If the dog is known to you,and alive after 10days or so little chance of rabies,get wound cleaned etc    took 10stiches or so to seal wound,Thai owner paid

I don't know the owner personally but I'm pretty sure I know who he is. He was coming out of his house on motorbike when I was coming past on mine.... The dog instinctively charged me and bit. The owner saw / heard it but carried on going....

 

To be honest I'm not sure I have much chance of getting him to pay for anything? I'd probably have to go through the police.

Cost varies depending if they want to rip you off or not. Pattaya City Hospital charged me 3,000 baht for the initial injections,  Banglamung 250 baht for each of the subsequent 3 injections

Not that I would chance my life on it but Thailand is pretty proactive in vaccinating strays against rabies, more so in tourist areas, but there are still a few human deaths a year from it.