1. Expert consensus on the clinical application of ormutivimab injection for use against the rabies virus.
- Author
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Chen R, Li H, Zhu W, Cheng H, Li Y, Li X, Li F, Liu X, Hu S, Yan B, Zheng Y, Zuo Y, Dong G, and Li X
- Subjects
- Humans, China, Animals, Dose-Response Relationship, Drug, Consensus, Injections, Rabies prevention & control, Rabies drug therapy, Post-Exposure Prophylaxis methods, Rabies virus immunology, Antibodies, Monoclonal, Humanized administration & dosage, Antibodies, Monoclonal, Humanized adverse effects
- Abstract
Background: There are no local or international guidelines or consensus on the use of mAbs against the rabies virus., Research Design and Methods: An expert group in the field of rabies prevention and control formulated the consensus presented in this paper., Results: Class III exposed persons to rabies for the first time; Identify type II exposed persons with immune deficiency; those who are first exposed to Class II and re-exposed to Class III within 7 days. They can use ormutivimab injection after completing the PEP wound treatment. In the case of injection restrictions or a wound that is difficult to detect, it is recommended that the entire Ormutivimab dose be infiltrated close to the wound. For severe multi-wound bites, the recommended dosage of ormutivimab is 20 IU/kg. If the recommended dose cannot meet all of the wound infiltration requirements, appropriate dilution can be conducted at a dilution ratio of 3 ~ 5 times. If the requirements for infiltration cannot be met after dilution, it is recommended that the dosage be increased with caution (maximum dosage, 40 IU/kg). The use of Ormutivimab is safe and effective without any contraindications by all age groups., Conclusions: This consensus standardizes clinical use of Ormutivimab, improves post-exposure prophylaxis of rabies in China, reduces infection rate.
- Published
- 2024
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