{"id":2364,"date":"2026-02-18T12:17:56","date_gmt":"2026-02-18T11:17:56","guid":{"rendered":"https:\/\/resemedicin.se\/svarigar\/?p=2364"},"modified":"2026-02-18T12:18:00","modified_gmt":"2026-02-18T11:18:00","slug":"2026-02-13-rabipur-till-aggallergiker","status":"publish","type":"post","link":"https:\/\/resemedicin.se\/svarigar\/2026-02-13-rabipur-till-aggallergiker\/","title":{"rendered":"2026-02-13 Rabipur till \u00e4ggallergiker?"},"content":{"rendered":"\n<p><strong>Fr\u00e5ga:<\/strong> En man i 40 \u00e5rs \u00e5ldern vill ta Rabipur inf\u00f6r resa till Bali 30\/3. Han har blivit avr\u00e5dd av en annan vaccinationsmottagning pga \u00e4ggallergi. Tog TBE vaccin nyligen och fick ingen reaktion d\u00e5. Har ganska kraftig \u00e4ggallergi som s\u00e4tter sig p\u00e5 luftv\u00e4garna och har epipen vb. Har astmainhalator annars inga mediciner.<\/p>\n\n\n\n<p><strong>Svar: <\/strong>Om det f\u00f6religger indikation utifr\u00e5n resl\u00e4ngd och planerad exponering b\u00f6r han i st\u00e4llet\u00a0<strong>vaccineras med<\/strong>\u00a0<strong>Verorab<\/strong>, som \u00e4r producerat i Vero-celler och inte inneh\u00e5ller \u00e4ggprotein.\u00a0Rabipur\u00a0\u00e4r framst\u00e4llt i kycklingembryoceller och kan inneh\u00e5lla sp\u00e5r av \u00e4ggprotein, vilket vid kraftig IgE-medierad \u00e4ggallergi utg\u00f6r en relativ f\u00f6rsiktighetsfaktor. <\/p>\n\n\n\n<p>I detta fall kan man vara gener\u00f6s med preexpositionsvaccination f\u00f6r att minska risken att beh\u00f6va postexpositionsprofylax i\u00a0Bali, d\u00e4r tillg\u00e5ngen till immunglobulin kan vara begr\u00e4nsad och vaccintypen inte alltid \u00e4r optimal ur allergisynpunkt. Samtidigt \u00e4r m\u00e4ngden ovalbumin i Rabipur mycket l\u00e5g och den faktiska anafylaxirisken bed\u00f6ms som liten \u00e4ven vid \u00e4ggallergi, s\u00e4rskilt om vaccination sker under kontrollerade former.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fr\u00e5ga: En man i 40 \u00e5rs \u00e5ldern vill ta Rabipur inf\u00f6r resa till Bali 30\/3. Han har blivit avr\u00e5dd av en annan vaccinationsmottagning pga \u00e4ggallergi. Tog TBE vaccin nyligen och fick ingen reaktion d\u00e5. Har ganska kraftig \u00e4ggallergi som s\u00e4tter sig p\u00e5 luftv\u00e4garna och har epipen vb. Har astmainhalator annars inga mediciner. Svar: Om det &hellip; <a href=\"https:\/\/resemedicin.se\/svarigar\/2026-02-13-rabipur-till-aggallergiker\/\" class=\"more-link\">Forts\u00e4tt l\u00e4sa<span class=\"screen-reader-text\"> \u201d2026-02-13 Rabipur till \u00e4ggallergiker?\u201d<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2364","post","type-post","status-publish","format-standard","hentry","category-svar-igar"],"modified_by":"Karl Ekdahl","jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/comments?post=2364"}],"version-history":[{"count":1,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2364\/revisions"}],"predecessor-version":[{"id":2365,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2364\/revisions\/2365"}],"wp:attachment":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/media?parent=2364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/categories?post=2364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/tags?post=2364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}