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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
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 (rdquick@seton.org).

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
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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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;248:777788.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;39:3646.Google Scholar
6. Tavares, A, Ribeiro, J, Oliveira, L. Active and passive immunization in the extremely premature infant. J Pediatria 2005;81:S89S94.Google Scholar
7. Kopel, E, Oren, G, Sidi, Y, David, D. Inadequate antibody response to rabies vaccine in immunocompromised patient. Emerg Infect Dis 2012;18:14931495.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;10:161163.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:RR2.Google Scholar