RABIES (HYDROPHOBIA)

 

RABIES (HYDROPHOBIA)

It occurs in dogs and is transmitted to man by bite of infected dog. Occasionally it occurs in cat .

Causative organism

Rabies virus is responsible for rabies

Mode of transmission

Direct contact of virus in saliva of a rabid animal into a bite or scratch

Incubation period

3 to 8 weeks

Symptoms

1.      Malaise

2.      Fatigue

3.      Headache

4.      Fever

5.      Paralysis

6.      Hydrophobia

7.      Convulsion

8.      Delirium

Complication

Almost invariably progress to death

Diagnosis

1.      Blood test

2.      Saliva test

Prevention

Best controlled through prevention rather treatment . high dose of passive rabies immunoglobulin . people with dog bite must  be given vaccine without delay .

Treatment

1.      Prevention rather than treatment

2.      Supportive therapy

3.      Passive rabies immunoglobulin

4.      Intravenous fluids

NURSING MANAGEMENT

1.      Bites with animals should be  thoroughly flushed and cleaned with soap and water.

2.      Pain killers to relive pain should be given to patient as order of doctor.