Missed appointment in rabies vaccination schedule

Wiwanitkit, Viroj

doi:10.1590/s0004-282x2012001000020

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…1 This is because many variants of the rabies virus can still be found in various wildlife, particularly among bats and raccoons. 5 According to the Pennsylvania Animal Rabies 2017 Report, thousands of animal are tested for rabies annually in Pennsylvania and on average 392 animals per year have tested positive in the past 10 years. 6 Despite the precautions taken, 23 cases of rabies in humans were reported to the CDC between 2008-2017, resulting in 21 deaths.…”

Section: How Does This Improve Population Health?mentioning

confidence: 99%

Rabies Vaccination Compliance and Reasons for Incompletion

Shi

Dunham

Nyland

2020

WestJEM

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Introduction: Rabies is a fatal disease with a 91% mortality rate in the United States. Current treatment of rabies consists of post-exposure prophylaxis treatment involving a complicated vaccination regimen. Studies conducted in other countries have found that patients do not complete their rabies vaccination treatment due to forgetting about their treatment, lack of time for visits, and the financial burden of treatment. However, little is known about why patients do not complete the rabies series in the US. The objective of this study was to determine the reasons why patients in the US do not complete rabies treatment. Methods: We performed a retrospective study to evaluate rabies post-exposure prophylaxis completion in the emergency department of an academic suburban hospital between June 2014-July 2017. Further review was performed for patients who received inadequate vaccination to determine the cause of treatment incompletion. We conducted additional follow-up by phone survey for those patients who did not complete their rabies treatment but had no explanation for discontinuation available in the medical chart review. Results: Results indicated 198 patients received rabies post-exposure treatment during the inclusion period. Of these, 145 patients completed the rabies vaccination regimen. Reasons for treatment incompletion were found for 29 patients, and 24 patients were lost to follow-up. Of the 29 patients for which discontinuation was assessed, 23 patients (79.3%) stopped treatment due to appropriate reasons-either the animal involved tested negative for the rabies virus or the patient had prior rabies treatment and only required two booster shots. Reasons for not completing the series when medically indicated included the patient deciding to not return for treatment, lack of awareness of the full vaccination regimen, and the patient declining initiation of rabies vaccination. Conclusion: Most patients in the US discontinue their rabies vaccination treatment for appropriate reasons; however, there is a proportion of patients who discontinue rabies vaccination when further treatment is medically indicated. This subset of patients is particularly at risk of rabies-related mortality, and additional measures need to be taken to ensure increased treatment compliance. [West J Emerg Med. 2020;21(4)918-923.] domestic animals has been drastically reduced due to mandatory vaccination of pets. However; the Centers for Disease Control and Prevention (CDC) still report 1-3 rabies cases each year in the US despite 30,000-60,000 prophylaxis treatments given

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Section: How Does This Improve Population Health?mentioning

confidence: 99%

Rabies Vaccination Compliance and Reasons for Incompletion

Shi

Dunham

Nyland

2020

WestJEM

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“…The Center for Disease Control (CDC) in 2009 did not include the dose on the 28 th day in the regime and modified it to four doses and RIG. There are studies showing compliance to four-dose treatment is better than compliance with five-dose treatment (9)(10)(11). In the literature, after the first administration, compliance appears to reduce linked to factors such as forgetting, missing or neglecting, patient's health status, age, and gender (12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Emergency Service Attendance Due to Rabies Suspect Animal Bites in the Van Region

Varışlı¹,

Yıldırım²,

Çelik³

et al. 2019

Eurasian J Emerg Med

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Aim:Rabies is a zoonotic viral disease transmitted by the bite of an animal. In Turkey, 100,000 individuals are administered prophylaxis annually after contact with animals carrying the risk of rabies. In this study, we investigated compliance with treatment and the affecting factors. Materials and Methods:The study assessed data from a total of 813 patients with potential animal bites throughout the year 2013. Results:The mean age of participants in the study was 22.6±16.8 years, and 80.6% (n=655) were male. Participants of both sexes mainly attended in the spring and summer months; however, it was identified that the rate of women attending in winter was higher than men. Also, five doses of vaccination were ordered for nearly all patients, independent of immunoglobulin administration; however, the rate of patients completing all five doses remained at about 30%.Conclusion: Increasing awareness of rabies will aid in the control of the significant public health problem of potential bite cases. As the young population is at risk, it is necessary to take precautions for the childhood age group.

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“…One might argue that universal vaccination to any suspicious case is better despite it seems not cost effective since rabies is a deadly infection 2 . However, the exact problem is on how to get the correct exposure history and the careful wound examination is needed 3 . For the second issue of missing prophylaxis, the problem is also common in our countries where rabies is very common 3 .…”

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confidence: 99%

“…However, the exact problem is on how to get the correct exposure history and the careful wound examination is needed 3 . For the second issue of missing prophylaxis, the problem is also common in our countries where rabies is very common 3 . The rate of is high and it is as previously suggested that each patient has to be well educated for the requirement of follow-up 4 …”

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confidence: 99%