Post exposure Immunization
Tetanus Immunization Schedule.
History of Dirty, tetanus-prone wound Clean, non-Tetanus prone tetanus wound immunization TD TIG TD TIG.
Unknown or Yes Yes Yes No.
3 or more No No No No
TD = Toxoid TIG = Immunoglobulin
Rabies Post-Exposure Immunization Schedule (Unvaccinated persons).
Immunizing product Regimen.
HRIG 20IU/kg, if feasible infiltrate 1/2 dose around wound(s), the rest IM in gluteal area. Not in same syringe as vaccine.
Vaccine: HDCV or RVA 1.0ml IM in deltoid area (only acceptable site in adults and older children; younger children outer aspect of thigh - never in gluteal area). Days 0, 3, 7, 14, 28.
HRIG =Human Rabies Immuno Globulin HDCV = Human Diploid Cell Vaccine RVA = Rabies Vaccine.
Hepatitis B Post-Exposure Prophylaxis for adults
(percutaneous, permucosal, sexual).
Exposed Exposure source.
person HbsAg + HbsAg - Unknown.
Unvaccinated HBIG 5.0ml IM HB vaccine Do HbsAg test.
+ HB vaccine on source of exposure.
Vaccinated Test exposed for No Rx Test exposed for Anti-HBs, if <10 (antibody res- anti-HBs, if >/=10 U/ml, give one dose HB vaccine; if
ponse unkno U/ml, no Rx; if < 10 >/= 10 U/ml no treatment
wn) U/ml: HBIG + 1 dose HB vaccine.
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