What is Which of the following will quality as a class III exposure to rabies? and explain in detail?
<p> caterogies of contact and post exposure prophylaxis in rabies:- Category 1: touching or feeding animals, licks on intact skin. PEP- none. Category 2: nibbling of uncovered skin, minor scratch/abrasions without bleeding. PEP- immediate vaccination and local treatment of wounds. Category 3: single/ multiple transdermal bites/scratches, licks on broken skin, contamination of mucous membrane with saliva from licks, contact with bats. PEP-immediate vaccination and administration of rabies immunoglobulin,local treatment of wounds. Wounds should not be sutured . This is to prevent additional trauma which may help spread virus into deeper tissues. Suturing if necessary has to be delayed for 24-48 hrs., applying minimal stiches under the cover of rabies immunoglobulin locally. {Reference: park&;s textbook of preventive and social medicine, 23rd edition, pg no.279}</p>