Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T15:48:05.069Z Has data issue: false hasContentIssue false
  • English
  • Français

Management of Rabies Prophylaxis for Potential Bat Exposures in a Level III Neonatal Intensive Care Unit

Published online by Cambridge University Press:  19 December 2016

Ann L. Bailey ,
Rachel D. Quick ,
Joanne Dixon  and
Sarmistha B. Hauger
Ann L. Bailey
Affiliation:
Infection Prevention, Seton Healthcare Family, Austin, Texas
Rachel D. Quick*
Affiliation:
Pediatric Infectious Diseases, Seton Healthcare Family, Austin, Texas
Joanne Dixon
Affiliation:
Infection Preventionist, Austin, Texas.
Sarmistha B. Hauger
Affiliation:
Pediatric Infectious Diseases, Seton Healthcare Family, Austin, Texas
*
Address correspondence to Rachel D. Quick, RN, MSN, CNS, Specially for Children, 1301 Barbara Jordan Blvd, Suite 200B, Austin, Texas 78723 ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

This report describes the unique challenges of managing potential exposure to bats in a neonatal intensive care unit. The outcome demonstrates that rabies post-exposure prophylaxis can be safely administered to preterm infants with evidence that preterm infants are able to develop adequate titers post vaccination.

Infect Control Hosp Epidemiol 2017;38:483–485

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 4 , April 2017 , pp. 483 - 485
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: These data were presented as an abstract and poster at the annual IDWeek conference, San Francisco, California, on October 2–6, 2013.

References

REFERENCES

1. Texas Parks and Wildlife Department. Bat-watching sites of Texas. Texas Publications Clearinghouse. 2007 PWD BK W7000-1411.Google Scholar
2. Rabies summary by county 1/1/2015–12/31/2015. Zoonosis Control Branch. Texas Department of State Health Services website. https://www.dshs.texas.gov/idcu/disease/rabies/cases/statistics/. Published 2016. Accessed September 29, 2016.Google Scholar
3. Monroe, BP, Yager, P, Blanton, J, et al. Rabies surveillance in the United States during 2014. JAVMA 2016;248:777–788.Google Scholar
4. Learning about bats and rabies. Centers for Disease Control and Prevention website. www.cdc.gov/rabies/bats/education/. Published 2011. Accessed March 26, 2016.Google Scholar
5. Demirjian, A, Levy, O. Safety and efficacy of neonatal vaccination. Eur J Immunol 2009;39:36–46.Google Scholar
6. Tavares, A, Ribeiro, J, Oliveira, L. Active and passive immunization in the extremely premature infant. J Pediatria 2005;81:S89–S94.Google Scholar
7. Kopel, E, Oren, G, Sidi, Y, David, D. Inadequate antibody response to rabies vaccine in immunocompromised patient. Emerg Infect Dis 2012;18:1493–1495.CrossRefGoogle ScholarPubMed
8. Fayaz, A, Simani, S, Fallahian, V, et al. Rabies antibody levels in pregnant women and their newborns after rabies post-exposure prophylaxis. Iran J Reprod Med 2012;10:161–163.Google Scholar
9. WHO guide for rabies pre- and post-exposure prophylaxis in humans. Department of Neglected Tropical Disease-Neglected Zoonotic Diseases Team. World Health Organization website. http://www.who.int/rabies/PEP_prophylaxis_guidelines_June10.pdf. Published 2010. Accessed November 11, 2016.Google Scholar
10. Centers for Disease Control and Prevention. Use of a reduced (4-dose) vaccine schedule for post exposure prophylaxis to prevent human rabies: recommendations of the advisory committee on immunization practices. MMWR 2010;59:RR–2.Google Scholar