]> 2026-07-31T10:06:43+00:00 WBR0521 0 en No further prophylaxis is necessary because of his history of previous vaccination. '''Incorrect'''-This bite from an ill appearing raccoon carries a high risk of rabies. So definitely the patient will require post exposure prophylaxis. Administer rabies immune globulin only '''Incorrect'''-Rabies immune globulin is not recommended in those who were previously immunized. Administer one dose of vaccine only '''Incorrect'''-A single dose of vaccine alone is an incomplete prophylaxis that will increase the risk of developing rabies. Administer rabies immune globulin and one dose of vaccine '''Incorrect'''-Rabies immune globulin is not recommended and a single dose of vaccine alone is an incomplete prophylaxis in this patient. Administer two doses of vaccine '''Correct'''-Following a bite of an ill appearing raccoon, which carries a high risk of rabies, the patient has to receive a post exposure prophylaxis immediately following wound cleansing. Two doses of vaccine intramuscularly, one immediately and one 3 days later, are recommended for those who were previously immunized. Rabies immune globulin is unnecessary and should not be administered to these persons because an anamnestic response will follow the administration of a booster regardless of the pre-booster antibody titer. A primary course of vaccination consists of three doses of vaccines at 0, 7, and 21 or 28 days. It is recommended for persons in high-risk groups, such as veterinarians, animal handlers, and certain laboratory personnel. Community Medical Health Center Primary Care Office Emergency Room Vendhan Ramanujam A wildlife worker presents to the emergency room after he was bitten on the hand by a raccoon while trying to capture the animal. On further history taking, he says that the animal appeared to be ill. He further states that he received a primary course of rabies vaccination before two years when he first started his job. The wound is immediately thoroughly cleaned by the emergency room staff. The wound appeared to be small because the patient was wearing gloves while trying to capture the animal. Which will be the most appropriate intervention for rabies prevention? E Preventive Medicine 2020-10-28T00:50:49Z 2459150.5352894 WBR0521