She received routine care (betamethasone for fetal lung maturation and prophylactic erythromycin). The bat was sent to the Canadian Food Inspection Agency Centre of Excellence for Rabies in Ottawa, Ontario, where a direct fluorescent antibody test confirmed that the bat had been rabid. It is given by injection into the site of the wound and into a muscle. There are no controlled data in human pregnancy. Rabies immunoglobulin is a blood product, and carries no more potential risk of viral infection than any other blood product.
The bat’s carcass was kept for testing.The patient was immediately started on a postexposure prophylaxis schedule, including both rabies vaccine and rabies immunoglobulin. No fetal adverse events have been reported with non-live virus vaccines. These specimens included raccoons, skunks, bats, arctic and red foxes, cattle, dogs and cats.Current recommendations for bat exposure counsel “intervention for situations when there is direct contact with a bat (i.e., there has been physical contact between human and bat) and a bite, scratch, or saliva exposure into a mucous membrane or wound cannot be ruled out.”If bats are found in a home, one should contact an appropriate pest control service, which will use the “exclusion method” to stop bats from re-entry: blocking potential points of entry with one-way doors (letting bats leave but not return) and sealing large structural cracks. Treatment during pregnancy is the same as it is for nonpregnant women. 7 steps for managing bats in buildings: a guide for pest management professionals [pamphlet]Bats in the bedroom, bats in the belfry: reanalysis of the rationale for rabies postexposure prophylaxisAssessing the safety of post-exposure rabies immunization in pregnancyPreventing rabies with the Verorab vaccine: 1985–2005Rapidly enlarging scalp nodules in a 20-month-old child Although a theoretical risk exists for adverse effects from rabies immune globulin and killed rabies virus vaccines, several studies assessing the safety of … Canadian health care providers must report all potential human exposures to rabies to local public health departments. Rabies immunoglobulin is a blood product, and carries no more potential risk of viral infection than any other blood product. Because the risk of rabies varies with different mammals and in different regions, providers are encouraged to seek public health guidance when rabies exposure is suspected.In North America, the most common source of human rabies exposure is bats.Other animals can be infected by rabies. Rabies Prophylaxis for Pregnant Women. Lang J, Gravenstein S, Briggs D, et al. If the risk of exposure to rabies is substantial, pre-exposure prophylaxis also might be indicated during pregnancy. The patient thoroughly washed the wound and sought immediate medical attention. She gave birth to a healthy boy, weighing 1474 g (50th percentile), with no further complications.Rabies is a uniformly fatal viral infection characterized by acute progressive encephalitis.Although exposure to rabies during pregnancy is uncommon, animal bites do occur, and pregnant women should receive postexposure prophylaxis. Remarks – Purified equine rabies immunoglobulin F(ab’)2 fragments may replace HRIG if unavailable. At 30 weeks, the patient went into preterm labour and underwent cesarean delivery. A review of the literature shows 24 cases of pregnant human exposure to rabies virus through confirmed rabid animal bites. Whereas rabies has a mortality rate of nearly 100 %, China remains a high-risk region for its transmission. Rabies vaccines, however, are killed whole-virus vaccines and can be safely administered during pregnancy. There are no controlled data in human pregnancy.
Live virus vaccines (e.g., smallpox, varicella, measles) are contraindicated in pregnancy because of the potential risk of congenital abnormalities that can from fetal infection. We do not capture any email address.All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.Obstetrics and Gynaecology (Windrim), National Maternity Hospital, Dublin, Ireland; Department of Microbiology (McGeer), Mount Sinai Hospital, University of Toronto; Department of Obstetrics and Gynaecology (Murphy), Mount Sinai Hospital, University of Toronto, Toronto, Ont.Obstetrics and Gynaecology (Windrim), National Maternity Hospital, Dublin, Ireland; Department of Microbiology (McGeer), Mount Sinai Hospital, University of Toronto; Department of Obstetrics and Gynaecology (Murphy), Mount Sinai Hospital, University of Toronto, Toronto, Ont.Obstetrics and Gynaecology (Windrim), National Maternity Hospital, Dublin, Ireland; Department of Microbiology (McGeer), Mount Sinai Hospital, University of Toronto; Department of Obstetrics and Gynaecology (Murphy), Mount Sinai Hospital, University of Toronto, Toronto, Ont.To sign up for email alerts or to access your current email alerts, enter your email address below:Enter multiple addresses on separate lines or separate them with commas.This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.Bats remain the most common source of human rabies exposure in Canada.Postexposure prophylaxis is used in situations that involve direct contact with a bat (i.e., when there has been physical contact between human and bat), and a bite, scratch or exposure to saliva through a mucous membrane or wound cannot be ruled out.Pregnancy is not a contraindication for postexposure prophylaxis.Management of potential rabies exposure guideline, 2018Reported cases by age group in Canada, grouped by sex — notifiable diseases onlineGot bats?