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Hong Kong Infectious Diseases Specialist Centre
香港傳染病醫療服務中心
狂犬病 (狂犬病疫苗)
狂犬病是一種由狂犬病病毒引起的急性中樞神經系統傳染病,它有機會存在於一些受感染動物唾液中(如狗、貓、蝙蝠)。
受傷前接種的狂犬症疫苗需要分別於 0、7、 21 或 28 天注射狂犬病疫苗,注射第三針後就可產生免疫效果,所以旅遊出發前一個月應接受傷前接種。如需要同時服用預防瘧疾藥物(例如氯奎因),最好是接受肌肉注射疫苗,因為這類預防瘧疾的藥物會影響抗體反應。
傷前接種宜用於要長期逗留疫區的旅客,特別是要去偏遠和缺乏醫療設施的鄉村地方,或者在疫埠逗留雖然很短時間的旅客,但他們的活動屬於高危險性(遠足、乘腳踏車、和處理動物)。
有一點要注意的是傷前接種並不可以排除傷後接種 4 針的需要性(0、3、7 及 14 天注射),所以旅客在外地被動物咬傷,就算已有傷前接種,也應該向當地醫生求診。
Rabis (Rabies vaccine)
Rabies is an acute infection of the central nervous system caused by the rabies virus, the virus may exist in the saliva of the infected animal (like dogs, cats, bats).
Pre-exposure vaccination is given by 3 doses of inactivated rabies vaccine on days 0,7,21 or 28 as standard primary series. Active immunity develops after the third dose, therefore pre-exposure vaccination should be started one month before travelling. Those who wish to take anti-malaria
(chloroquine) should preferably be given vaccine intramuscularly because concurrent use of these drugs may affect the antibody response to intradermal vaccination.
Pre-exposure vaccination is recommended for prolonged trip to endemic areas, particularly for visits toremote rural regions without medical facilities, or people who will travel even for a short period inrabies infected areas if their activities may involve some special risk (hiking, cycling, trekking and animal handling). It should be noted that pre-exposure immunisation does not eliminate the need forpost-exposure immunization (by 4 doses on days 0, 3, 7, 14). Travellers should therefore seek local medical opinion if bitten by animals abroad even when they had already received a course of pre-exposure immunisation.
狂犬病 (狂犬病疫苗)
狂犬病是一種由狂犬病病毒引起的急性中樞神經系統傳染病,它有機會存在於一些受感染動物唾液中(如狗、貓、蝙蝠)。
受傷前接種的狂犬症疫苗需要分別於 0、7、 21 或 28 天注射狂犬病疫苗,注射第三針後就可產生免疫效果,所以旅遊出發前一個月應接受傷前接種。如需要同時服用預防瘧疾藥物(例如氯奎因),最好是接受肌肉注射疫苗,因為這類預防瘧疾的藥物會影響抗體反應。
傷前接種宜用於要長期逗留疫區的旅客,特別是要去偏遠和缺乏醫療設施的鄉村地方,或者在疫埠逗留雖然很短時間的旅客,但他們的活動屬於高危險性(遠足、乘腳踏車、和處理動物)。
有一點要注意的是傷前接種並不可以排除傷後接種 4 針的需要性(0、3、7 及 14 天注射),所以旅客在外地被動物咬傷,就算已有傷前接種,也應該向當地醫生求診。
Rabis (Rabies vaccine)
Rabies is an acute infection of the central nervous system caused by the rabies virus, the virus may exist in the saliva of the infected animal (like dogs, cats, bats).
Pre-exposure vaccination is given by 3 doses of inactivated rabies vaccine on days 0,7,21 or 28 as standard primary series. Active immunity develops after the third dose, therefore pre-exposure vaccination should be started one month before travelling. Those who wish to take anti-malaria
(chloroquine) should preferably be given vaccine intramuscularly because concurrent use of these drugs may affect the antibody response to intradermal vaccination.
Pre-exposure vaccination is recommended for prolonged trip to endemic areas, particularly for visits toremote rural regions without medical facilities, or people who will travel even for a short period inrabies infected areas if their activities may involve some special risk (hiking, cycling, trekking and animal handling). It should be noted that pre-exposure immunisation does not eliminate the need forpost-exposure immunization (by 4 doses on days 0, 3, 7, 14). Travellers should therefore seek local medical opinion if bitten by animals abroad even when they had already received a course of pre-exposure immunisation.