Hyperimmune antirabies serum concentrates have been prepared in rabbits and sheep. One injection of antiserum exerted a definite protective effect in hamsters and in guinea pigs which had been infected twenty-four hours previously with street virus. In contrast, a course of fourteen injections of phenolized rabies vaccine instituted twenty-four hours after exposure failed in all instances to protect the exposed animals from rabies. A combined antiserum plus vaccine treatment of exposed hamsters seemed neither to enhance nor to decrease the protective power of antiserum administered alone. An effective protective dose of antiserum has been calculated for guinea pigs and hamsters, and a tentative dose of 0.5 ml. per kg. of body weight has been suggested for use in humans after moderate exposure (twenty-four hours after exposure). Several cases of antiserum treatment of humans exposed to rabies have been described and discussed. In a general discussion of the problem the conclusion was reached that antiserum seems to have definite value and should be applied in every case of exposure to rabies, in conjunction with a short course of vaccine treatment.
Read full abstract