Abstract:
:The 2-1-1 rabies postexposure treatment schedule is an abbreviated regimen in which a tissue culture rabies vaccine is administered intramuscularly at two sites on day 0, and at one site on days 7 and 21. Compared to the standard five-dose intramuscular regimen, the 2-1-1 schedule reduces the number of clinic visits from five to three and the amount of vaccine used by 20%. One hundred Thai patients, who were severely exposed to rabies, were treated with rabies immune globulin and the 2-1-1 regimen using purified Vero cell rabies vaccine. They were followed for 1 year. Rabies antibody titres were measured in 10% of this group. All patients survived and adverse reactions were mild. A satisfactory antibody response (a titre greater than 0.5 IU ml-1) occurred in all ten patients studied at day 14, but persisted for 90 days in 80% and for 360 days in only 50%. The authors therefore do not recommend use of the 2-1-1 schedule in severely exposed patients who also need to receive rabies immune globulin.
journal_name
Vaccinejournal_title
Vaccineauthors
Chutivongse S,Wilde H,Fishbein DB,Baer GM,Hemachudha Tdoi
10.1016/0264-410x(91)90244-zsubject
Has Abstractpub_date
1991-08-01 00:00:00pages
573-6issue
8eissn
0264-410Xissn
1873-2518pii
0264-410X(91)90244-Zjournal_volume
9pub_type
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