HomeAnswersMicrobiologybooster doseI got vaccinated for rabies recently, but another cat scratched me while playing. Should I get vaccinated again or wait for a few days?

What problems can occur if someone fails to get the booster shot for rabies vaccine?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 5, 2023
Reviewed AtAugust 5, 2023

Patient's Query

Hi doctor,

I am a thirty-three-year-old healthy and immunocompetent male who recently just finished five doses of PEP for rabies immunoglobulin and two tetanus shots last year for a superficial cat bite. No antibiotics were given though. Four months later, a new cat in the neighborhood had just scratched me when I was playing too hard with it, but since I wore a glove, the scratch was protected from my skin but still left a small 1-centimeter abrasion. It did not bleed but the skin did break since I do see two red spots on the skin that peeled off, it looks more like a thumb attack wound when you stub your finger on something (see picture attached).

My question is would I still need two booster vaccinations for anti-rabies and tetanus or is my previous completion of RIG be enough to suffice?

Can I wait for around fifteen-twenty more days to have the option of having the cat undergo a ten-day evaluation test for rabies first before getting those booster vaccinations? What are the risks for me if I choose to do this? Since I am already vaccinated. But in case rabies gets detected in the cat, will those previous vaccinations be enough to kill the bacteria? Does the incubation period longer than the usual three to eight weeks before symptoms appear? So that I will be able to get the much-needed boosters. Although I am almost completely positive that the cat does not have rabies since I have been around him every day for the past two months and don't see any of those rabies symptoms. He was friendly and acting normal as usual when I got scratched.

Lastly, would I still need to be cultured for possible bacteria like Bartonella henselae, Cowpox,

Cutaneous larva migraine , Dipylidium Infection (tapeworm), Hookworm Infection,

Pasteurella multocida, Staphylococcus, Ringworm, Toxoplasmosis, Trichinosis, Visceral larva migraine Tularemia, Streptococcus and get the respective antibiotics for any of these, or do I wait only when symptoms are present? What are the chances of acquiring and becoming symptomatic of these from a small scratch? As mentioned I was never given any antibiotics for the first cat bite that happened five months ago.

Can any of those bacterial infections manifest themselves symptomatically many months or even years later after the scratch or bite especially during a time when I become immunocompromised? So what I am talking about can bacteria live dormant inside of the human body for so long before they manifest an infestation.

Thank you.

Answered by Dr. Purohit Manish

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

As you want to know about booster vaccination, first I wish to tell you that if the animal is suspected of having rabies you should take a booster without waiting for ten days. If the cat is vaccinated or not suspected of rabies, no need for vaccination.

There is no other way to decide about the booster vaccine.

Further, I wish to tell you that rabies immunoglobulin is not used as a vaccine. These are used only as passive immunization. So please confirm your previous vaccination and which vaccine you received during the last episode. Egg-derived and cell-cultured vaccines are used commonly in a 5-dose schedule.

Regarding tetanus vaccination, there is no need this time.

Third about other infections I suggest you take 5 days of antibiotic treatment to prevent any bacterial infection. However, bacterial infection usually does not go into latency for a long time.

No need to treat prophylactic treatment for parasites or fungi.

Thank you for consulting me.

You can always come back and reach me at icliniq.com

Patient's Query

Hi doctor,

I have been injected with both RIG and Verorab vaccine and boosters. My doctor told me there is no need for antibiotics.

As for my question about the possibility of bacterial infection causing symptoms many months or even years later, is this still possible after a scratch or bite months or years before?

You said most bacterial infections don't go into latency for a long time. Please explain what you mean about this.

Answered by Dr. Purohit Manish

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Latency means a long silent period during which microorganisms remain inside the body without causing disease.

Bacterial infections usually manifest within a short period after exposure i.e. days to months except for a few bacteria like Tubercular bacteria and Coxiella.

So it is a very rare possibility of have an infection after years of bite or scratch. I have not experienced this type of case in my practice.However, bacteria may go into silent form after primary infection and cause recurrence from month to year.After an animal scratches or bites, antibiotics are given to prevent any infection, because we do not want to put the patient at any risk of developing infection.

Thank you for consulting me.

You can always come back and reach me at icliniq.com

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purohit Manish
Dr. Purohit Manish

Microbiology

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