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Animal bites and rabies exposure in Australian travellers

Mills, Deborah J; Lau, Colleen; Weinstein, Philip

Description

Objectives: To examine the circumstances of animal exposure in a case series of Australian travellers who required rabies post exposure prophylaxis, and to assess the appropriateness of current guidelines for rabies pre-exposure vaccination. Design, participants and setting: Prospective case series of 65 returned travellers who presented to four Australian travel medicine clinics between 1 April 2009 and 31 July 2010 for rabies post-exposure prophylaxis. Main outcome measures: Demographic...[Show more]

dc.contributor.authorMills, Deborah J
dc.contributor.authorLau, Colleen
dc.contributor.authorWeinstein, Philip
dc.date.accessioned2018-11-29T22:53:01Z
dc.date.available2018-11-29T22:53:01Z
dc.identifier.issn0025-729X
dc.identifier.urihttp://hdl.handle.net/1885/152353
dc.description.abstractObjectives: To examine the circumstances of animal exposure in a case series of Australian travellers who required rabies post exposure prophylaxis, and to assess the appropriateness of current guidelines for rabies pre-exposure vaccination. Design, participants and setting: Prospective case series of 65 returned travellers who presented to four Australian travel medicine clinics between 1 April 2009 and 31 July 2010 for rabies post-exposure prophylaxis. Main outcome measures: Demographic characteristics associated with risk of injury; countries where injuries occurred; circumstances of the injuries; and travellers' experiences of obtaining post exposure prophylaxis overseas. Results: Animal bites and scratches occurred most commonly among travelers aged 20-29 years. Most injuries occurred in Bali, Indonesia (30 [46%]) and Thailand (21 [32%]), and the most common animals responsible for the injuries to the 65 travellers were monkeys (29 travellers [45%]) and dogs (27 [42%]). Thirty-nine of the travellers (60%) initiated contact with the animal. Forty travellers (62%) were able to commence rabies vaccination overseas, but only nine (14%) were able to obtain rabies immunoglobulin overseas. Conclusions: Most travellers had difficulty obtaining rabies post exposure prophylaxis overseas, resulting in significant delays in appropriate treatment. We recommend that current National Health and Medical Research Council guidelines for at-risk persons be broadened, and that the risk of rabies and the option of pre-exposure vaccination be discussed with all travellers to rabies-endemic areas.
dc.format.mimetypeapplication/pdf
dc.publisherAustralasian Medical Association
dc.sourceMedical Journal of Australia
dc.subjectKeywords: rabies immunoglobulin; rabies vaccine; adult; age distribution; article; Australia; bite; controlled study; endemic disease; environmental exposure; ethnic group; female; geographic distribution; hand injury; human; leg injury; major clinical study; male;
dc.titleAnimal bites and rabies exposure in Australian travellers
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume195
dc.date.issued2011
local.identifier.absfor111700 - PUBLIC HEALTH AND HEALTH SERVICES
local.identifier.ariespublicationU3488905xPUB9073
local.type.statusPublished Version
local.contributor.affiliationMills, Deborah J, University of Queensland
local.contributor.affiliationLau, Colleen, College of Health and Medicine, ANU
local.contributor.affiliationWeinstein, Philip, University of Queensland
local.bibliographicCitation.issue11-12
local.bibliographicCitation.startpage673
local.bibliographicCitation.lastpage675
local.identifier.doi10.5694/mja10.11413
dc.date.updated2018-11-29T07:50:30Z
local.identifier.scopusID2-s2.0-84857100292
local.identifier.thomsonID000298533900020
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

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