Has any case of rabies been reported in a human after being bitten by a greater bandicoot rat?

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Rabies Risk from Greater Bandicoot Rat Bites

No cases of rabies have been reported from greater bandicoot rat bites, and rodents including rats are almost never found to be infected with rabies and have not been known to cause rabies among humans in the United States. 1

Evidence-Based Risk Assessment

Rodents, specifically including rats and mice, represent an extremely low rabies risk:

  • Small rodents (rats, mice, squirrels, hamsters, guinea pigs, gerbils, chipmunks) and lagomorphs (rabbits and hares) are almost never found to be infected with rabies 1

  • These animals have not been known to transmit rabies to humans in the United States 1

  • From 1990-1996, among the 371 rodent rabies cases reported to CDC in areas where raccoon rabies was endemic, woodchucks accounted for 93% of cases—rats were not significantly represented 1, 2

  • Even during 1971-1988, when 179 rodent rabies cases were reported, woodchucks alone accounted for 70% of cases 1

Clinical Management Recommendation

For greater bandicoot rat bites, rabies postexposure prophylaxis is NOT indicated. 1

However, you should:

  • Immediately wash the wound thoroughly with soap and water for 15 minutes 2

  • Apply a virucidal agent such as povidone-iodine solution after washing 2

  • Consult your state or local health department before initiating antirabies prophylaxis in all cases involving rodents 1

Critical Distinctions to Avoid Errors

Do not confuse rat bite management with high-risk species:

  • Bats are documented rabies reservoirs in all 49 continental states and require immediate prophylaxis consideration after any direct contact 1, 2

  • Wild terrestrial carnivores (raccoons, skunks, foxes, coyotes) are the animals most often infected with rabies and all bites must be considered possible exposures requiring immediate prophylaxis 1, 2

  • Unlike these high-risk species where prophylaxis should be initiated immediately, rodent bites follow a completely different algorithm 1

Geographic Considerations

This guidance applies globally, as the CDC notes that small rodents including rats are extremely low-risk species for rabies transmission even in areas with endemic wildlife rabies 2

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Rabies Prophylaxis for Rodent Bites

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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