New purified Vero-cell vaccine prevents rabies in patients bitten by rabid animals

Lancet. 1986 Jul 19;2(8499):129-31. doi: 10.1016/s0140-6736(86)91946-x.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Antibodies, Viral / analysis
  • Bites and Stings / complications*
  • Cats
  • Child
  • Child, Preschool
  • Chlorocebus aethiops
  • Culture Techniques
  • Dogs
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Kidney
  • Male
  • Middle Aged
  • Rabies / prevention & control*
  • Rabies / transmission
  • Rabies Vaccines / administration & dosage*
  • Rabies Vaccines / adverse effects
  • Rabies virus / immunology
  • Vaccination*

Substances

  • Antibodies, Viral
  • Rabies Vaccines