scholarly journals Traveller exposures to animals: a GeoSentinel analysis

2020 ◽  
Vol 27 (7) ◽  
Author(s):  
Michael P Muehlenbein ◽  
Kristina M Angelo ◽  
Patricia Schlagenhauf ◽  
Lin Chen ◽  
Martin P Grobusch ◽  
...  
Keyword(s):  
Mammalian Species ◽  
Wild Animal ◽  
Post Exposure Prophylaxis ◽  
Behavioral Modification ◽  
Surveillance Network ◽  
Domestic Species ◽  
Wide Range ◽  
Animal Bites ◽  
Exposure Prophylaxis ◽  
Rabies Vaccination

Abstract Background Human coexistence with other animals can result in both intentional and unintentional contact with a variety of mammalian and non-mammalian species. International travellers are at risk for such encounters; travellers risk injury, infection and possibly death from domestic and wild animal bites, scratches, licks and other exposures. The aim of the present analysis was to understand the diversity and distribution of animal-related exposures among international travellers. Methods Data from January 2007 through December 2018 from the GeoSentinel Surveillance Network were reviewed. Records were included if the exposure was non-migration travel with a diagnosis of an animal (dog, cat, monkey, snake or other) bite or other exposure (non-bite); records were excluded if the region of exposure was not ascertainable or if another, unrelated acute diagnosis was reported. Results A total of 6470 animal exposures (bite or non-bite) were included. The majority (71%) occurred in Asia. Travellers to 167 countries had at least one report of an animal bite or non-bite exposure. The majority (76%) involved dogs, monkeys and cats, although a wide range of wild and domestic species were involved. Almost two-thirds (62.6%) of 4395 travellers with information available did not report a pretravel consultation with a healthcare provider. Conclusions Minimizing bites and other animal exposures requires education (particularly during pretravel consultations) and behavioral modification. These should be supplemented by the use of pre-exposure rabies vaccination for travellers to high-risk countries (especially to those with limited access to rabies immunoglobulin), as well as encouragement of timely (in-country) post-exposure prophylaxis for rabies and Macacine alphaherpesvirus 1 (herpesvirus B) when warranted.

CROSS- SECTIONAL STUDY OF ANIMAL BITE VICTIMS AND RABIES POST EXPOSURE PROPHYLAXIS UNDER NRCP (NATIONAL RABIES CONTROL PROGRAMME) AT A RURAL HOSPITAL OF NORTH 24 PARGANAS OF WEST BENGAL, INDIA.

2021 ◽  
pp. 4-6
Author(s):  
Chinmay Nandi ◽  
Saikat Bhattacharya ◽  
Soumitra Mondal ◽  
Shibasish Banerjee
Keyword(s):  
Cross Sectional Study ◽  
Control Programme ◽  
Post Exposure Prophylaxis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Case Record ◽  
Post Exposure ◽  
Rabies Control ◽  
Animal Bites ◽  
Exposure Prophylaxis

Objectives -Rabies, an Endemic disease, is responsible for extensive morbidity and mortality in India. About 96% of the mortality and morbidity is associated with dog bites. The aim of the study was to estimate the prevalence and pattern of animal bites and rabies post exposure prophylaxis under National Rabies Control Programme Methodology – It was a Record cross sectional study where complete enumeration of all animal bite victims were done. Total 2940 such cases were found in that year. Data of 42 cases was excluded due to incomplete records. Data was analysed using MS Excel. Animal Bite Exposure register under National Rabies Control Programme, Patient Treatment cards, Consolidated reports were evaluated as study tools. Results - Majority of the wounds were found in limbs in 2695 (93%) cases. It is followed by wound in other areas like face 104(3.6%) and back 95 (3.3%). In a few cases site of wound was not mentioned in the case record. Children were most commonly affected (28.2%).Cat -bite is most common (49.3%). Around 84.9% were Category II bite and rest are category III. Conclusion - Dogs and cats are mostly responsible of animal bites in this part of the country. There is need to control stray dogs .Children are found to be most vulnerable for animal bites. There is gap between eligible candidates for vaccine and those who actually received it both in Category II and III animal bite victims.

Paralytic rabies: An acute flaccid myelitis after inadequate post exposure prophylaxis

2019 ◽  
Vol 49 (4) ◽  
pp. 301-302
Author(s):  
Ashok Kumar Pannu ◽  
Raichur Vijay Kumar ◽  
Deeksha Vijaykumar ◽  
Lakshmi Priya ◽  
Harpreet Singh ◽  
...  
Keyword(s):  
Post Exposure Prophylaxis ◽  
Middle Aged ◽  
Post Exposure ◽  
Acute Flaccid Myelitis ◽  
Clinical Syndromes ◽  
Exposure Prophylaxis ◽  
Rabies Vaccination

Rabies has two distinct clinical syndromes, encephalitic (or ‘furious’) and paralytic (or ‘dumb’). The paralytic form presents as acute flaccid myelitis and is more common in patients who received post-exposure anti-rabies vaccination without rabies immunoglobulins. We have recently had the opportunity to manage a middle-aged man presenting as ‘dumb’ paralytic rabies.

scholarly journals Safety and immunogenicity of intradermal rabies vaccination for post exposure prophylaxis

2016 ◽  
pp. 692-696
Author(s):  
Ravish Hardanahalli ◽  
Rachana Annadani ◽  
Madhusudana Shampur ◽  
Veena Vijayashankar ◽  
Ashwath Doddabele ◽  
...  
Keyword(s):  
Post Exposure Prophylaxis ◽  
Post Exposure ◽  
Exposure Prophylaxis ◽  
Rabies Vaccination

scholarly journals Compliance to anti-rabies vaccination in post-exposure prophylaxis

2015 ◽  
Vol 59 (1) ◽  
pp. 58 ◽  
Author(s):  
RavishHaradanahalli Shankaraiah ◽  
RachanaAnnadani Rajashekar ◽  
Vijayashankar Veena ◽  
Ashwath NarayanaDoddabele Hanumanthaiah
Keyword(s):  
Post Exposure Prophylaxis ◽  
Post Exposure ◽  
Exposure Prophylaxis ◽  
Rabies Vaccination

scholarly journals To study the treatment compliance among the animal bite patients attending anti rabies clinic in a tertiary care hospital, Solapur

2017 ◽  
Vol 4 (9) ◽  
pp. 3394 ◽  
Author(s):  
Dhananjaya Chinthapatlu Desaiah ◽  
Lokesh Kabbalu Chikkegowda ◽  
Swetha Chandru ◽  
Santhosh Munipapanna
Keyword(s):  
Interpersonal Communication ◽  
Tertiary Care ◽  
Treatment Compliance ◽  
Vaccination Schedule ◽  
Study Data ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Fourth Dose ◽  
Exposure Prophylaxis ◽  
Rabies Vaccination

Background: Rabies is 100% fatal zoonotic disease. In India majority of the disease is caused by bite of dogs, whereas bite of several other animals like cats, donkeys, monkeys, pigs, jackals and wolves can cause rabies. Post exposure prophylaxis (PEP) effectively prevents the occurrence of rabies in the exposed person. Hence the current study is done to know the treatment compliance among the patients attending Anti rabies clinic.Methods: It is hospital based longitudinal study. Data was collected through personal interview from January 1st 2013 to December 31st 2013 and clinical examination was done. All patients were registered and were given first dose of ARV at the time of registration and advised to take all the remaining doses as per schedule. Data regarding their compliance for completion of vaccination schedule was analyzed. Statistical analysis was done by using simple proportions and percentages.Results: Out of 7205 patients, 5343 (74.15%) patients completed second dose, 5021 (69.68%) patients completed third dose and 2998 (41.6%) patients completed fourth dose of intradermal schedule of rabies vaccination and anti-rabies immunoglobulins were advised for 1536 patients among them 1180 (76.82%) patients took immunoglobulins.Conclusions: Most of the patients are not completing ARV intradermal schedule. Hence the animal bite patients should be motivated effectively through health education by interpersonal communication at the time of initiation of vaccination course about timely and complete administration of anti - rabies vaccination to attain the goal of Rabies free India. 

scholarly journals Cost Savings of Using Updated Thai Red Cross Intradermal Regimen in a High-Throughput Anti-Rabies Clinic in New Delhi, India

2019 ◽  
Vol 4 (1) ◽  
pp. 50 ◽  
Author(s):  
Bijit Kundu ◽  
Girish Meshram ◽  
Shrinath Bhargava ◽  
Omprakash Meena
Keyword(s):  
High Throughput ◽  
Financial Burden ◽  
Cost Savings ◽  
Red Cross ◽  
Post Exposure Prophylaxis ◽  
New Delhi ◽  
Before And After ◽  
Exposure Prophylaxis ◽  
The Cost ◽  
Rabies Vaccination

Replacement of the Essen intramuscular (EIM) by the updated Thai Red Cross intradermal (UTRCID) regimen for rabies post-exposure prophylaxis (PEP), in high-throughput hospitals of India, has been advocated since 2006 thanks to its cost-effectiveness. However, several anti-rabies clinics in India and other parts of the world have not initiated this switchover of regimens because of the paucity of financial literature, generated in realistic settings, regarding the same. We calculated the procurement costs of various items required for providing rabies vaccinations via the EIM regimen and UTRCID regimen, on an annual basis, a year before and after the switchover. From a healthcare provider’s perspective, the cost of vaccination per patient was calculated to be 5.60 USD for the EIM regimen and 2.40 USD for the UTRCID regimen. The switchover to the UTRCID regimen from the EIM regimen reduced the financial burden of the rabies vaccination by almost 60%. Procurement of vaccine vials contributed to the majority of the cost (>94%) in both of the regimens. Procurement of syringes with fixed needles contributed negligibly (<6%) to the financial burden in both the regimens. A policy to progressively switch over to the UTRCID regimen from the EIM in all high-throughput anti-rabies centers of India would dramatically reduce the economic burden of running a successful anti-rabies program.

scholarly journals Characteristics and factors associated with post-exposure prophylaxis (PEP) treatment of dog and cat bites among left-behind children: a cross-sectional study in two cities of China

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e024764 ◽  
Author(s):  
Shuzhen Yan ◽  
Ying Chen ◽  
Wanbao Ye ◽  
Fuxiang Chen ◽  
Liping Li
Keyword(s):  
Cross Sectional Study ◽  
Post Exposure Prophylaxis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Left Behind ◽  
Animal Bites ◽  
Rabies Exposure ◽  
Exposure Prophylaxis ◽  
To Receive

ObjectiveAnimal injury is a significant cause of morbidity and mortality worldwide. Dog bites account for tens of millions of injuries annually and the highest risk is among children. However, children may not receive postexposure prophylaxis (PEP) treatment timely and appropriately after rabies exposure. This study aimed to investigate the characteristics and factors associated with PEP treatment of dog and cat bites among left-behind children.DesignA cross-sectional study using questionnaire was conducted in primary and high schools.SettingShenzhen and Shantou cities, Guangdong Province, China.ParticipantsA total of 9380 participants were included and 2236 of them were with a history of dog and cat bites.Results1188 (53.1%) boys and 1048 (46.9%) girls suffered from animal bites. Bitten in holidays was less likely to receive PEP treatment (OR 0.512, 95% CI 0.377 to 0.695) than those bitten in school days. Bitten while being with family (OR 1.418, 95% CI 1.040 to 1.934) and bitten at roadside (OR 1.842, 95% CI 1.297 to 2.171), bitten by unvaccinated animals (OR 1.745, 95% CI 1.246 to 2.443) tended to receive PEP treatment. Compared with unbroken skin, bleeding (OR 1.789, 95% CI 1.165 to 2.745) and laceration (OR 3.834, 95% CI 2.310 to 6.366) were showed as treatment prompting factors.ConclusionsBitten in holidays was found as a risk factor of receiving PEP treatment of animal bites. Certain measures should be taken to raise left-behind children’s awareness of receiving PEP treatment timely and appropriately after dog and cat bites.

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