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The protective effect of a new, potentially economical tissue-culture rabies vaccine, purified vero-cell rabies vaccine (PVRV), was tested in 106 patients bitten by animals with proven rabies. 0.5 ml PVRV was given intramuscularly on days 0, 3, 7, 14, 28, and 91; 47 patients with severe exposure were also given 20 IU/kg human rabies immune globulin (HRIG). All patients are alive and well after 1 year. Side-effects of treatment were negligible. Rabies neutralising antibody (greater than or equal to 1.6 IU) was demonstrated on day 14 and persisted for 1 year in every case. There was no significant suppression of the antibody response by HRIG. If the untreated mortality is 15%, PVRV is 81% efficient in protecting patients against rabies encephalitis (95% confidence limit). PVRV is likely to replace human diploid-cell strain vaccine as the most widely used tissue-culture rabies vaccine.

Type

Journal article

Journal

Lancet

Publication Date

19/07/1986

Volume

2

Pages

129 - 131

Keywords

Adolescent, Adult, Animals, Antibodies, Viral, Bites and Stings, Cats, Cercopithecus aethiops, Child, Child, Preschool, Culture Techniques, Dogs, Evaluation Studies as Topic, Female, Humans, Kidney, Male, Middle Aged, Rabies, Rabies Vaccines, Rabies virus, Vaccination