Estima NM, Wada MY, Rocha SM, Moraes DS, Ohara PM, Vargas A, de Assis DM. Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019.
EPIDEMIOLOGIA E SERVIÇOS DE SAÚDE 2022;
31:e2021627. [PMID:
35730814 PMCID:
PMC9887991 DOI:
10.1590/s2237-96222022000200002]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Accepted: 02/10/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE
To analyze human anti-rabies post-exposure prophylaxis notifications in Brazil.
METHODS
This was a descriptive study using data from the Notifiable Diseases Information System in Brazil, from 2014 to 2019.
RESULTS
A total of 4,033,098 anti-rabies medical consultations were notified, averaging 672,183 a year. Percentage care was higher among males (n = 2,111,369; 52.4%), those under 19 years old (n = 1,423,433; 35.3%), living in urban areas (n = 3,386,589; 88.1%), attacked by dogs (n = 3,281,190; 81.5%) and bitten (n = 3,575,717; 81.9%), mainly on the hands and feet (n = 1,541,201; 35.3%). The most frequent prophylactic procedure was observation plus vaccination (n = 1,736,036; 44.2%). Prophylactic procedure was appropriate in 57.8% (n = 2,169,689) of cases and inappropriate in 42.2% (n = 1,582,411) of cases.
CONCLUSION
Although there were appropriate prophylactic procedures, we also found procedures that were inappropriate and which, when insufficient, can result in cases of human rabies and, when unnecessary, can result in waste, including shortage of immunobiological products.
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