Volume 10, Issue 2 (7-2012)                   IJRM 2012, 10(2): 161-163 | Back to browse issues page

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Fayaz A, Simani S, Fallahian V, Eslamifar A, Hazrati M, Farahtaj F, et al . Rabies antibody levels in pregnant women and their newborns after rabies post-exposure prophylaxis. IJRM 2012; 10 (2) :161-163
URL: http://ijrm.ir/article-1-258-en.html
1- WHO Collaborating Center for Reference and Research on Rabies, Pasteur Institute of Iran, Tehran, Iran
2- Treatment and Prevention of Rabies Center, Department of Vaccination, Pasteur Institute of Iran, Tehran, Iran
3- Treatment and Prevention of Rabies Center, Department of Vaccination, Pasteur Institute of Iran, Tehran, Iran , vida.1333@yahoo.com
4- WHO Collaborating Center for Reference and Research on Rabies, Pasteur
Abstract:   (3068 Views)
Background: Rabies is a fatal infectious disease and rabies post-exposure prophylaxis is the method of choice for prevention of human rabies.
Case series: We report rabies antibody levels in cord blood and also in serum of pregnant women who were bitten by suspected animals to rabies and were immunized by purified Vero cell rabies vaccine (PVRV) and Human Rabies immunoglobulin (HRIG) serum. During the years of 2007-2010, six pregnant women by the age range of 22-35 years were admitted in treatment and prevention of rabies center in Pasture institute of Iran, in Tehran. Among them two cases were at first trimester, one at second trimester and three at third trimester of conception. The interval between biting with delivery was 5-265 days (mean 121 days).
Conclusion: Results of immunoglobulin illustrate that levels of rabies antibody in maternal sera with the fetus are not equal and uniform but it is proved that baby will find efficient immunity as well with minimum protective level of 0.5 IU/ml in all cases except a newborn whom had been born just 5 days after the mother’s immunization and in a shorter time than the appropriate immunization of the mother who had received her second vaccination courses.
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Type of Study: Original Article |

References
1. Wiwanitkit V. Rabies vaccination in pregnancy and lactation. Anatol J Obstet Gynecol 2009; 4: 2.
2. Sipahioglu U, Alpaut S. Transplacental rabies in humans. Mikrobiyol Bul 1985; 19: 95- 99.
3. Muller-Holve W, Leitritz H, Knorr E. Early development of a child following rabies of the mother during pregnancy. Infection 1977; 5: 49-50.
4. Manning SE, Rupprecht CE, Fishbein D, Hanlon CA, Lumlertdacha B, Guerra M, et al. Human rabies prevention- United States, 2008: recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm Rep 2008; 57: 1-28.
5. Chutivongse S, Wilde H. Postexposure rabies vaccination during pregnancy: experience with 21 patients. Vaccine 1990; 8: 409. [DOI:10.1016/0264-410X(90)90120-B]
6. Chutivongse S, Wilde H, Benjavongkulchai M, Chomchey P, Punthawong S. Postexposure rabies vaccination during pregnancy: effect on 202 women and their infants. Clin Infect Dis 1995; 20: 818-820. [DOI:10.1093/clinids/20.4.818]
7. Figueroa Damián R, Ortiz Ibarra FJ, Arredondo García JL. [Post-exposure antirabies prophylaxis in pregnant women], Ginecol Obstet Mex 1994; 62: 13-16.
8. Abazeed ME, Cinti S. Rabies Prophylaxis for Pregnant Women. J Emergent infectious disease 2007; 13.
9. Sudarshan MK, Madhusudana SN, Mahendra BJ. Post-exposure prophylaxis with purified vero cell rabies vaccine during pregnancy-safety and immunogenicity. J Commun Dis 1999; 31: 229-236.

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