Rabies Postexposure Prophylaxis in Returned Injured Travelers From France, Australia, and New Zealand : A Retrospective Study
Identifieur interne : 008A98 ( Main/Exploration ); précédent : 008A97; suivant : 008A99Rabies Postexposure Prophylaxis in Returned Injured Travelers From France, Australia, and New Zealand : A Retrospective Study
Auteurs : Philippe Gautret [France] ; Marc Shaw [Nouvelle-Zélande] ; Pierre Gazin [France] ; Georges Soula [France] ; Jean Delmont [France] ; Philippe Parola [France] ; Mariejose Soavi [France] ; Philippe Brouqui [France] ; D. Elizabeth Matchett [Australie] ; Joseph Torresi [Australie]Source :
- Journal of travel medicine [ 1195-1982 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : France, Australie, Nouvelle-Zélande.
- topic : Rage.
English descriptors
- KwdEn :
Abstract
Background. There is little published information available describing rabies pre- and postexposure prophylaxis (PEP) in tourists returning to their home country and seeking care for animal-associated injuries, especially those associated with a rabies risk. Method. We analyzed 261 travelers seeking care on returning to their home country following an animal-related injury acquired abroad. Information on individual cases of rabies (PEP) including preexposure status, type of contact with a potentially rabid animal, type of animal, and the nature of rabies PEP was collected by retrospectively analyzing records from May 1997 to May 2 005. Results. The majority of injuries were acquired in Southeast Asia and North Africa. Only 6.8% of injured patients were previously vaccinated against rabies, while 75.4% of the cohort experienced a severe injurious contact with animals (World Health Organization category III). Of travelers who sustained a high-risk injury, only 24% received both vaccination and rabies immune globulin,(RIG) while 76% received vaccination only. Of the travelers who did not receive RIG, 43 % had received a first dose of vaccine more than 7 days after return and before presenting to a clinic in their home country. Conclusions. This study highlights important deficiencies in rabies PEP for travelers who acquire high-risk, animal-associated injuries in rabies-endemic countries, with the majority not receiving adequate PEP or experiencing a substantial delay before receiving rabies vaccination.
Affiliations:
- Australie, France, Nouvelle-Zélande
- Provence-Alpes-Côte d'Azur, Victoria (État)
- Marseille, Melbourne
- Université de Melbourne
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Le document en format XML
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aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Shaw, Marc" sort="Shaw, Marc" uniqKey="Shaw M" first="Marc" last="Shaw">Marc Shaw</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Worldwise Travelers Health and Vaccination Center</s1><s2>Auckland</s2><s3>NZL</s3><sZ>2 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Worldwise Travelers Health and Vaccination Center</wicri:noRegion></affiliation></author><author><name sortKey="Gazin, Pierre" sort="Gazin, Pierre" uniqKey="Gazin P" first="Pierre" last="Gazin">Pierre Gazin</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Institut de Recherche pour le Developpement</s1><s2>Marseille</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Soula, Georges" sort="Soula, Georges" uniqKey="Soula G" first="Georges" last="Soula">Georges Soula</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, Hôpital Nord</s1><s2>Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Delmont, Jean" sort="Delmont, Jean" uniqKey="Delmont J" first="Jean" last="Delmont">Jean Delmont</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, Hôpital Nord</s1><s2>Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, Hôpital Nord</s1><s2>Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Soavi, Mariejose" sort="Soavi, Mariejose" uniqKey="Soavi M" first="Mariejose" last="Soavi">Mariejose Soavi</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, Hôpital Nord</s1><s2>Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Brouqui, Philippe" sort="Brouqui, Philippe" uniqKey="Brouqui P" first="Philippe" last="Brouqui">Philippe Brouqui</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, Hôpital Nord</s1><s2>Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Matchett, D Elizabeth" sort="Matchett, D Elizabeth" uniqKey="Matchett D" first="D. Elizabeth" last="Matchett">D. Elizabeth Matchett</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Victorian Infectious Diseases Service, Royal Melbourne Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Department of Medicine, University of Melbourne</s1><s2>Melbourne, Victoria</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Torresi, Joseph" sort="Torresi, Joseph" uniqKey="Torresi J" first="Joseph" last="Torresi">Joseph Torresi</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Victorian Infectious Diseases Service, Royal Melbourne Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Department of Medicine, University of Melbourne</s1><s2>Melbourne, Victoria</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author></analytic><series><title level="j" type="main">Journal of travel medicine</title><title level="j" type="abbreviated">J. travel med.</title><idno type="ISSN">1195-1982</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of travel medicine</title><title level="j" type="abbreviated">J. travel med.</title><idno type="ISSN">1195-1982</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Australia</term><term>France</term><term>Imported disease</term><term>New Zealand</term><term>Prevention</term><term>Rabies</term><term>Retrospective</term><term>Tropical medicine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Rage</term><term>Maladie d'importation</term><term>Prévention</term><term>France</term><term>Australie</term><term>Nouvelle-Zélande</term><term>Rétrospective</term><term>Médecine tropicale</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term><term>Australie</term><term>Nouvelle-Zélande</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Rage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background. There is little published information available describing rabies pre- and postexposure prophylaxis (PEP) in tourists returning to their home country and seeking care for animal-associated injuries, especially those associated with a rabies risk. Method. We analyzed 261 travelers seeking care on returning to their home country following an animal-related injury acquired abroad. Information on individual cases of rabies (PEP) including preexposure status, type of contact with a potentially rabid animal, type of animal, and the nature of rabies PEP was collected by retrospectively analyzing records from May 1997 to May 2 005. Results. The majority of injuries were acquired in Southeast Asia and North Africa. Only 6.8% of injured patients were previously vaccinated against rabies, while 75.4% of the cohort experienced a severe injurious contact with animals (World Health Organization category III). Of travelers who sustained a high-risk injury, only 24% received both vaccination and rabies immune globulin,(RIG) while 76% received vaccination only. Of the travelers who did not receive RIG, 43 % had received a first dose of vaccine more than 7 days after return and before presenting to a clinic in their home country. Conclusions. This study highlights important deficiencies in rabies PEP for travelers who acquire high-risk, animal-associated injuries in rabies-endemic countries, with the majority not receiving adequate PEP or experiencing a substantial delay before receiving rabies vaccination.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>Nouvelle-Zélande</li></country><region><li>Provence-Alpes-Côte d'Azur</li><li>Victoria (État)</li></region><settlement><li>Marseille</li><li>Melbourne</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name></region><name sortKey="Brouqui, Philippe" sort="Brouqui, Philippe" uniqKey="Brouqui P" first="Philippe" last="Brouqui">Philippe Brouqui</name><name sortKey="Delmont, Jean" sort="Delmont, Jean" uniqKey="Delmont J" first="Jean" last="Delmont">Jean Delmont</name><name sortKey="Gazin, Pierre" sort="Gazin, Pierre" uniqKey="Gazin P" first="Pierre" last="Gazin">Pierre Gazin</name><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name><name sortKey="Soavi, Mariejose" sort="Soavi, Mariejose" uniqKey="Soavi M" first="Mariejose" last="Soavi">Mariejose Soavi</name><name sortKey="Soula, Georges" sort="Soula, Georges" uniqKey="Soula G" first="Georges" last="Soula">Georges Soula</name></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Shaw, Marc" sort="Shaw, Marc" uniqKey="Shaw M" first="Marc" last="Shaw">Marc Shaw</name></noRegion></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Matchett, D Elizabeth" sort="Matchett, D Elizabeth" uniqKey="Matchett D" first="D. Elizabeth" last="Matchett">D. Elizabeth Matchett</name></region><name sortKey="Matchett, D Elizabeth" sort="Matchett, D Elizabeth" uniqKey="Matchett D" first="D. Elizabeth" last="Matchett">D. Elizabeth Matchett</name><name sortKey="Torresi, Joseph" sort="Torresi, Joseph" uniqKey="Torresi J" first="Joseph" last="Torresi">Joseph Torresi</name><name sortKey="Torresi, Joseph" sort="Torresi, Joseph" uniqKey="Torresi J" first="Joseph" last="Torresi">Joseph Torresi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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