The cost of preventing rabies at any cost: Post-exposure prophylaxis for occult bat contact

被引:9
作者
Huot, Caroline [2 ]
De Serres, Gaston [1 ,2 ]
Duval, Bernard [1 ,2 ]
Maranda-Aubut, Renee [3 ]
Ouakki, Manale [1 ]
Skowronski, Danuta M. [4 ]
机构
[1] Inst Natl Sante Publ Quebec, Quebec City, PQ G1E 7G9, Canada
[2] Univ Laval, Dept Social & Prevent Med, Quebec City, PQ, Canada
[3] Agence Sante & Servs Sociaux Vieille Capitale, Quebec City, PQ, Canada
[4] British Columbia Ctr Dis Control, Vancouver, BC, Canada
关键词
rabies; bat; post-exposure prophylaxis; public health intervention; rabies vaccine;
D O I
10.1016/j.vaccine.2008.06.076
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Investigations conducted by public health in Quebec, Canada, following report of human exposure to a bat were reviewed to evaluate the implementation of the recommendation for rabies post-exposure prophylaxis (RPEP) for household bat exposure (without documented direct contact). Of all RPEP recommended, 12% was for direct bat contact with bite, 7% for direct bat contact without known bite and 81% for household exposure. When bat was not available for testing, RPEP was almost always recommended. Household bat exposure has become the most frequent reason for RPEP administration. Given the rarity of rabies, RPEP recommendations related to household bat exposure may warrant review. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:4446 / 4450
页数:5
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