Here is My Question:
I have RRMS and I’m taking Ocrevus. My dog just had the live bordetella intranasal vaccine for Kennel Cough and I read later that it should be avoided when the owner is on an immunocompromising medication. I was in the room and even kissed the puppies face and definitely was exposed to the vaccine. Should I be worried or take precautions? I read conflicting data but some highly regarded sites indicated it may not be safe. I can’t get in touch with my MS provider.
There are very rare reports of human cross contamination from intranasal bordetella vaccine sprays given to dogs. Your risk of a serious infection would depend on your extent of immunosuppression, which, in turn, is likely related to your duration of treatment with Ocrevus. If you develop signs of infection or a respiratory illness within 2-4 weeks of exposure, inform your health care provider of your potential exposure, so that appropriate testing can be done. Bordetella is a gram negative coccobacillus that responds to treatment with common antibiotics.
It is probably best to contact your primary care provider for this issue.
Revere (Rip) Kinkel MD
Professor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego
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