Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, I was been bitten 3months ago by a stray cat, who is also our office pet for in weekday. It wasnt a proper bite, but a scratch with the teeth and I could see the pen line (think) blood. I had TT and 3 douse of anti-rabbies. Doctor said its not major case but its bester go for the anti-rabbles. After 2-3months, our office cat bite me again and the teeth just punctured the skin and few drops of blood oozed out. Its a very small dot punctured skin.  Can  you please help me.. What should I do? Do i have to go for anti-rabbies again? Many thanks
[|AI|]  Hello, Thank you for your question and welcome to Chat Doctor. I read your query and I understand your concern. Rabies post exposure prophylaxis is an emergency, and it should not be delayed. Prophylaxis may be discontinued if the animal involved remains healthy for an observation period of 10 days. In case of previously vaccinated persons, as your case is, the prophylaxis differs.First you should do a local treatment of the wound. In this case there is no need for Anti rabies immunoglobulin. You can follow one of these two schedules: 1. One dose on days 0 and 3. The dose is either 1 standard intro muscular dose (which may be 1 ml or 0.5 ml depending on vaccine type) or one intradermal dose of 0.1 ml per site.2. A 4-site (one visit only) intradermal PEP consisting of 4 injections of0.1 mL distributed on each arm and thigh or supra scapular region on days 0. You can talk to your doctor to make a good decision of which schedule to use.Besides this I would recommend vaccinating the cat if you can, as it spends some days with you. Hope I helped with my answer. For further concerns or follow-up questions, feel free to write again, I will be pleased to answer you again. Take care,