Profile of post-exposure anti-rabies treatments to wild mammals in a health region, Pernambuco, Brazil, 2014-2020

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Main Author: Laysa Lindaura Lau Rocha Cordeiro
Format: Artículo científico
Language:en
Published: Universidade de Santa Cruz do Sul 2024
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author Laysa Lindaura Lau Rocha Cordeiro
author_facet Laysa Lindaura Lau Rocha Cordeiro
contents Profile of post-exposure anti-rabies treatments to wild mammals in a health region, Pernambuco, Brazil, 2014-2020 Laysa Lindaura Lau Rocha Cordeiro Maria Olívia Soares Rodrigues Louisiana Regadas de Macedo Quinino Francisco Duarte Farias Bezerra Raylene Medeiros Ferreira Costa Emília Carolle Azevedo de Oliveira Salud Post Rabies Epidemiology Wild Mammals Exposure Prophylaxis Justification and Objectives: since 2016, Brazil has not registered any cases of human rabies transmitted by dogs, with the disease now primarily associated with wild mammals. In Pernambuco, the last reported case occurred in 2017 in Recife. Considering the reporting of anti-rabies treatments as a crucial tool for the epidemiological surveillance of rabies, this study aimed to analyze post-exposure anti-rabies treatments related to wild mammals in the First Health Region of Pernambuco between 2014 and 2020. Methods: a descriptive, analytical, and cross-sectional study was conducted on human anti-rabies treatments reported in the Notifiable Diseases Information System. Data were processed using Excel, with the chi-square test assuming p < 0.05. A qualitative assessment was performed to identify duplicate records in different health units. Results: a total of 799 human anti-rabies treatments were identified, primarily in adults (20-34 years) and mixed-race individuals, with no statistical difference between sexes. Bats were the most involved species. The accidents mainly occurred through bites, on hands and feet, with single and superficial wounds. Most prophylactic recommendations were serum-vaccination. A total of 64 duplicate treatments were recorded in different health units. Conclusion: although most post-exposure prophylactic recommendations were appropriate, anti-rabies accidents involving wild mammals are classified as severe. This underscores the importance of strictly adhering to the prophylactic protocol established by the health authority. The identification of duplicate records also highlights the need for improvements in the integration of health systems and the training of professionals to ensure efficiency in case reporting and treatment. 2024 artículo científico 2238-3360 https://www.redalyc.org/articulo.oa?id=570481071010 https://www.redalyc.org/journal/5704/570481071010/ https://www.redalyc.org/journal/5704/570481071010/html/ https://www.redalyc.org/journal/5704/570481071010/570481071010.epub https://www.redalyc.org/journal/5704/570481071010/movil https://doi.org/10.17058/reci.v14i3.19244 en http://www.redalyc.org/revista.oa?id=5704 Revista de Epidemiologia e Controle de Infecção application/pdf Universidade de Santa Cruz do Sul Revista de Epidemiologia e Controle de Infecção (Brasil) Num.3 Vol.14
format Artículo científico
id redalyc_570481071010
institution Redalyc
language en
publishDate 2024
publisher Universidade de Santa Cruz do Sul
spellingShingle Profile of post-exposure anti-rabies treatments to wild mammals in a health region, Pernambuco, Brazil, 2014-2020
Laysa Lindaura Lau Rocha Cordeiro
Salud
Post
Rabies
Epidemiology
Wild Mammals
Exposure Prophylaxis
Profile of post-exposure anti-rabies treatments to wild mammals in a health region, Pernambuco, Brazil, 2014-2020 Laysa Lindaura Lau Rocha Cordeiro Maria Olívia Soares Rodrigues Louisiana Regadas de Macedo Quinino Francisco Duarte Farias Bezerra Raylene Medeiros Ferreira Costa Emília Carolle Azevedo de Oliveira Salud Post Rabies Epidemiology Wild Mammals Exposure Prophylaxis Justification and Objectives: since 2016, Brazil has not registered any cases of human rabies transmitted by dogs, with the disease now primarily associated with wild mammals. In Pernambuco, the last reported case occurred in 2017 in Recife. Considering the reporting of anti-rabies treatments as a crucial tool for the epidemiological surveillance of rabies, this study aimed to analyze post-exposure anti-rabies treatments related to wild mammals in the First Health Region of Pernambuco between 2014 and 2020. Methods: a descriptive, analytical, and cross-sectional study was conducted on human anti-rabies treatments reported in the Notifiable Diseases Information System. Data were processed using Excel, with the chi-square test assuming p < 0.05. A qualitative assessment was performed to identify duplicate records in different health units. Results: a total of 799 human anti-rabies treatments were identified, primarily in adults (20-34 years) and mixed-race individuals, with no statistical difference between sexes. Bats were the most involved species. The accidents mainly occurred through bites, on hands and feet, with single and superficial wounds. Most prophylactic recommendations were serum-vaccination. A total of 64 duplicate treatments were recorded in different health units. Conclusion: although most post-exposure prophylactic recommendations were appropriate, anti-rabies accidents involving wild mammals are classified as severe. This underscores the importance of strictly adhering to the prophylactic protocol established by the health authority. The identification of duplicate records also highlights the need for improvements in the integration of health systems and the training of professionals to ensure efficiency in case reporting and treatment. 2024 artículo científico 2238-3360 https://www.redalyc.org/articulo.oa?id=570481071010 https://www.redalyc.org/journal/5704/570481071010/ https://www.redalyc.org/journal/5704/570481071010/html/ https://www.redalyc.org/journal/5704/570481071010/570481071010.epub https://www.redalyc.org/journal/5704/570481071010/movil https://doi.org/10.17058/reci.v14i3.19244 en http://www.redalyc.org/revista.oa?id=5704 Revista de Epidemiologia e Controle de Infecção application/pdf Universidade de Santa Cruz do Sul Revista de Epidemiologia e Controle de Infecção (Brasil) Num.3 Vol.14
title Profile of post-exposure anti-rabies treatments to wild mammals in a health region, Pernambuco, Brazil, 2014-2020
topic Salud
Post
Rabies
Epidemiology
Wild Mammals
Exposure Prophylaxis
url https://www.redalyc.org/articulo.oa?id=570481071010
https://www.redalyc.org/journal/5704/570481071010/
https://www.redalyc.org/journal/5704/570481071010/html/
https://www.redalyc.org/journal/5704/570481071010/570481071010.epub
https://www.redalyc.org/journal/5704/570481071010/movil
https://doi.org/10.17058/reci.v14i3.19244