Should You Get Rabies Vaccination After Bat Droppings Exposure? - Family Medicine

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Regarding rabies infection from bat feces..?


Hello, Doctor Gao.
I would like to inquire about my situation: I work along the coast in Taoyuan, and there used to be a bat cave indoors, which seems to have been sealed off now.
However, there are some small pellets near the window that appear to be bat droppings.
I was sitting by the window when the wind blew, and it seems that one or two of these pellets may have blown into my eyes.
I'm not sure if any got into my teacup (I finished the tea later).
I rinsed my eyes with saline solution and it seems I washed out one of those pellets, which looked like it had been dried for a long time.
I would like to ask if it is necessary to get vaccinated? P.S.
The pellets are about the size of a grain of sand.

Mr. Chen, 30~39 year old female. Ask Date: 2016/08/30

Dr. Gao Qingyun reply Family Medicine


Hello: It is advised that there is no need for special vaccination.
If you still have concerns, please visit the Infectious Disease Clinic for consultation with a specialist.
Wishing you safety and health.
Sincerely, Dr.
Gao Qingyun, Director of the Family Medicine Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/08/30

More Info


When it comes to potential exposure to rabies through bat droppings, it is essential to understand the transmission routes of the rabies virus and the associated risks. Rabies is primarily transmitted through the saliva of infected animals, typically through bites or scratches. Bats can carry the rabies virus, but the risk of transmission through contact with bat droppings is significantly lower.

In your case, it seems you had a situation where dried bat droppings were blown into your eyes and possibly into your tea. While the concern about rabies is understandable, it is crucial to note that rabies is not transmitted through feces. The rabies virus does not survive long outside of a host, and it is not present in the droppings of infected animals. Therefore, the likelihood of contracting rabies from the scenario you described is extremely low.

You mentioned that you rinsed your eyes with saline solution, which is a good practice to remove any foreign particles. If you did not sustain any bites or scratches from a bat, and there was no direct contact with saliva, the need for rabies vaccination is not warranted. The Centers for Disease Control and Prevention (CDC) guidelines indicate that rabies vaccination is recommended only after potential exposure through bites or scratches from a rabid animal.

However, it is essential to monitor for any unusual symptoms, such as fever, headache, or neurological signs, which could indicate an infection. If you experience any concerning symptoms, it would be prudent to seek medical attention.

In summary, based on the information provided, there is no need for rabies vaccination following exposure to bat droppings, especially if there was no direct contact with saliva or an open wound. If you have further concerns or if your situation changes, consulting with a healthcare professional for personalized advice is always a good idea.
Additionally, it is worth noting that while rabies is a serious disease, the risk of contracting it from bats is relatively low compared to other potential health risks associated with bat droppings, such as histoplasmosis, a fungal infection that can occur from inhaling spores from bat guano. Therefore, when dealing with bat droppings, it is advisable to take precautions, such as wearing gloves and a mask, and ensuring proper ventilation if cleaning is necessary.

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