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Can Fam Physician
Vol. 55, No. 9, September 2009, p.868
Copyright © 2009 by The College of Family Physicians of Canada
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Letter

PEP for bat exposure?

Joseph A. Casale, MD CCFP
Hamilton, Ont

In Dr Grill’s interesting article on management of suspected rabies exposure,1 case 3 suggests that finding a bat in your bedroom means that you need postexposure prophylaxis (PEP). In a letter from David Williams, Chief Medical Officer of Health for Ontario, dated August 8, 2008,2 it is suggested that owing to recent research, the rabies PEP recommendations regarding bat exposure have changed. The main difference is that PEP is not recommended for scenarios in which someone is sleeping unattended in a room where a bat was found. Postexposure prophylaxis is indicated only when there is a direct contact with a bat. The letter goes on to define this direct contact. As usual, each case deserves individual consideration.

References

  1. Grill AK. Approach to management of suspected rabies exposures. What primary care physicians need to know. Can Fam Physician 2009;55:247–51.[Abstract/Free Full Text]
  2. Williams DC. Bat rabies post-exposure prophylaxis (PEP) administration policy change [letter]. Toronto, ON: Ministry of Health and Long-Term Care; 2008. Available from: www.pdhu.on.ca/documents/rabpol.pdf. Accessed 2009 Aug 12.




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