A retrospective review of rabies post-exposure prophylaxis queries, South Africa, 2016–2019

Southern African Journal of Infectious Diseases

 
 
Field Value
 
Title A retrospective review of rabies post-exposure prophylaxis queries, South Africa, 2016–2019
 
Creator Whitbread, Trisha A. Kabuya, Kathleen J. Naran, Nimesh Juggernath, Amilcar M. Matthews, Moushumi A. Blumberg, Lucille H. Weyer, Jacqueline Essel, Vivien
 
Subject — rabies; post-exposure prophylaxis; NICD; clinician hotline; animal exposure
Description Background: The National Institute for Communicable Diseases (NICDs) of South Africa (SA) provides technical support to healthcare workers (HCWs) with regard to infectious diseases through the NICD clinician hotline. Queries to the hotline are often about rabies prophylaxis. An analysis of these queries may help to identify knowledge gaps amongst HCWs regarding prevention of rabies in humans in SA.Methods: A retrospective descriptive review was conducted to analyse rabies post-exposure prophylaxis (PEP) queries received by the NICD from 01 January 2016 to 31 December 2019.Results: A total of 4655 queries were received by the NICD clinician hotline for the study period, of which 2461 pertained to rabies PEP (52.87%). The largest number of calls were placed by HCWs (n = 2313/2437; 94.9%). Queries originated mainly from Gauteng (n = 912/2443; 37.3%) and KwaZulu-Natal (n = 875/2443; 35.8%) provinces. A total of 50 different types of animals were related to exposures involving humans. Dogs (67.7%) and cats (11.8%) were the animals most frequently reported and exposure category III was most common (88.6%). Approximately equal numbers of callers were advised active management of administering rabies PEP and conservative management of withholding PEP. This did not seem to be affected by the exposure category related to the call.Conclusion: This analysis shows the ongoing demand by HCWs for technical support regarding patient management following potential exposure to rabies. Gaps in HCWs rabies knowledge provide unique learning points on guiding training to achieve the goal of eliminating dog-mediated human rabies deaths by 2030.
 
Publisher AOSIS Publishing
 
Contributor
Date 2022-09-13
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajid.v37i1.354
 
Source Southern African Journal of Infectious Diseases; Vol 37, No 1 (2022); 8 pages 2313-1810 2312-0053
 
Language eng
 
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https://sajid.co.za/index.php/sajid/article/view/354/1042 https://sajid.co.za/index.php/sajid/article/view/354/1043 https://sajid.co.za/index.php/sajid/article/view/354/1044 https://sajid.co.za/index.php/sajid/article/view/354/1045
 
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Rights Copyright (c) 2022 Trisha A. Whitbread, Kathleen J. Kabuya, Nimesh Naran, Amilcar M. Juggernath, Moushumi A. Mathews, Lucille H. Blumberg, Jacqueline Weyer, Vivien Essel https://creativecommons.org/licenses/by/4.0
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