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[deleted] OP t1_j4j7uur wrote

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winterspan t1_j4jryv8 wrote

If you get the PrEP shots, you DO NOT receive the immunoglobulin (which is multiple injections into and around the wound(s)).

Also, PrEP is now two shots, not three, at least in the USA.

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tonniecat t1_j4kid54 wrote

Yup - and those hurt when you get the bites in your fingertips. Note: wear gloves when rescuing bats of the street...

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Supabongwong t1_j4kqxoq wrote

Where, Wuhan?

^(don't get mad at me, I'm Chinese)

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tonniecat t1_j4kr4sx wrote

Lol...no, im in Denmark ;) 25% of our bat populations have rabies. The doctor told me im one of the 2-3 persons a year that gets the treatment for a bat-bite.

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Dawnzergivesleelight t1_j4ksnja wrote

Can I just confirm you mean “serious gloves” not medical nitrile gloves, correct?

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tonniecat t1_j4ksrof wrote

Im thinking workgloves - cant see medical gloves doing much good preventing a bite

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[deleted] OP t1_j4jaonh wrote

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sannerloo t1_j4jbufj wrote

Yes, one reason for taking the PrEP is that many places where you might be exposed to rabies, especially in developing countries, you may not have reliable or safe access to the PEP products so you have more time to get post treatment.

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Alwayssunnyinarizona t1_j4jm35d wrote

Pre-exposure saves you the trouble of immunoglobulin treatment (an often painful subcutaneous injection of several mls) at the site of exposure and 2-3 extra doses of the vaccine series (depending on local regulations).

Source - I've gone through post-exposure (without pre-exposure), and had sufficient titers >10yrs post-treatment.

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[deleted] OP t1_j4jmn5s wrote

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Alwayssunnyinarizona t1_j4jncdx wrote

You'll be at the whim of the county health department I suspect, but it's unlikely you'll have to go through another course if post-exp was less than a month or two ago. Protection lasts a decade or more, but health departments will have different ideas about when post-exp is necessary, and tend to lean towards public safety.

Get the bats taken care of and you'll have less to worry about!

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Level9TraumaCenter t1_j4jwopv wrote

> Protection lasts a decade or more, but health departments will have different ideas about when post-exp is necessary, and tend to lean towards public safety.

Titer every two years, except for the two opposite ends of the scale: those in labs researching rabies (every six months), and "Animal care professionals and others who frequently handle terrestrial mammals in regions without terrestrial rabies," i.e.: cavers (no titer checks). I believe that latter group is supposed to get a booster every three years.

Should be good for several years, such as in your case.

Source: knuckle-dragging, mud-eating caver.

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dropkickpa t1_j4k42n3 wrote

I'm 20 years out from my PrEP vaccination, my titers are still well within the protective range.

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EmilyU1F984 t1_j4kqypw wrote

You need to get your antibody titer checked.

There’s no other way to check whether a vaccination worked in causing immunity, and no other way to tell whether you still have sufficient immunity.

In most cases a fresh vaccine course will yield sufficient protection against infection.

Also: the bats do need to bite you. Any other contact doesn‘t risk infection.

If bitten depending on your local health care system they will either determine tigers to see whether you have sufficient immunity, or do a refresher course of the vaccination, with or without immunoglobulin depending on further circumstances (immunocompromised, vaccination a decade old etc)

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squigster037 t1_j4jv5af wrote

Would you rather have a standing army to meet invaders, or call the national guard after they have sacked your village?

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kkg_scorpio t1_j4jz12m wrote

Isn't natural infection of rabies 100% lethal?

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SurreptitiousSyrup t1_j4k005r wrote

Rabies virus infection, regardless of the variant or animal reservoir, is fatal in over 99% of cases, making it one of the world’s most deadly diseases. There is no treatment once signs or symptoms of the disease begin, and the disease is fatal in humans and animals within 1–2 weeks of symptom onset. Prompt administration of postexposure prophylaxis (PEP), consisting of rabies vaccine and immune globulin, immediately after exposure effectively prevents disease

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Maiiau t1_j4k3f7f wrote

Basically, though there is one known person who survived without getting treatment before their symptoms--Jeanna Giese.

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