Hello,

Thank you for asking your query at DoctorSpring.

Since your daughter has completed all the three courses of pre exposure prophylaxis with a time interval of 6 weeks, she should be adequately protected against rabies by now under normal circumstances. However it is not advisable to take chances in cases of Rabies, especially since you are in a high risk country.

The issue here is whether she had a real contact with bat resulting in a bite or scratch. Although some bat bites can go unnoticed, this is not the norm. She should look out for any new bite marks and abrasions.
Testing the bat for rabies won’t be easy in India. And even if there is facility for testing chances that the results might be delayed. Rabies antibody levels of your Daughter can be tested (to see how well she is protected), but again there could be unavailability and/or delay. If there is a strong suspicion of bite, contact and/or if there are visible bite marks I recommend a “Post exposure prophylaxis” for immunised person. This includes two doses of Rabies vaccine – Day 0 and Day 3. This is a safe and easily available option.

The good thing is that since Rabies prophylaxis is commonly given in India, vaccines are easily available and Doctors are experienced in this regard. If you could give your Daughter’s current location in India, I will see whether I can offer any further assistance.

Hope this helps
Please feel free to ask followup questions.
Thank you

Hello Buntin,

The quality of care is acceptable in Vadodara. If a consultation is required, she can choose any of the hospitals like Global Baroda Hospital or the Apollo clinic. There are no 'Family Physicians' in India. So I recommend a consultation with a Specialist in Internal Medicine (MBBS, MD) or a specialist in Social and Preventive Medicine (MD community medicine)

You can get same day appointments with most of the Doctors if needed. Phone is the preferred method.

Hope this helps
Please feel free to ask followup questions.