Rabies Injection For 4 Year Old Children Scratched By Wild Cats?
The night my doctor wanted to ask, my 4-year-old child scratched a stray cat when the cat fought, then went directly to the health center but said he did not need to be injected but only cleaned and given antibiotics, because he said scratches were not deep. I want to ask, does it really not need to be given an anti-rabies injection
Thank you for the question.
It should be clarified, does the cat that scratches your child show signs of being infected with rabies, such as producing excessive saliva, aggressively stinging, biting all the objects he sees, or dying suddenly without apparent cause after biting?
If not, and your doctor has assessed the condition of your child's injuries, and concluded that there is no risk of rabies, then it is possible that anti-rabies vaccine does not need to be given. Indeed, not all injuries resulting from bites, scratches or scratching of animals are at risk of causing rabies transmission. Rabies transmission can occur only if the animal is indeed infected with the rabies virus. In general, if the scratching animal shows no symptoms of being infected with rabies, and the wound condition is clean, not deep, and not extensive, the possibility of this injury being the entry point for the rabies virus is actually very small. The doctor who examines your child, with his competence and experience, certainly understands what steps should be taken regarding the injury.
If in doubt, you can ask for a second opinion by checking your child again to the doctor or other pediatrician to be further evaluated.
Not only rabies, external cat scratching wounds also have the risk of becoming an entry point for viral, bacterial and even other parasitic infections. To prevent this, aside from giving your child treatment according to the doctor's advice, you also need to keep your child's wound clean by:
Clean the wound morning and evening after bathing with clean gauze moistened with liquid NaCl or povidone iodine
Do not close the wound too tight
Ask the child not to scratch, slough, or handle the wound excessively
Give children clean and loose clothing
I hope this helps.