Animal-associated exposure to rabies virus among travelers, 1997-2012. Academic Article uri icon

Overview

abstract

  • Among travelers, rabies cases are rare, but animal bites are relatively common. To determine which travelers are at highest risk for rabies, we studied 2,697 travelers receiving care for animal-related exposures and requiring rabies postexposure prophylaxis at GeoSentinel clinics during 1997-2012. No specific demographic characteristics differentiated these travelers from other travelers seeking medical care, making it challenging to identify travelers who might benefit from reinforced pretravel rabies prevention counseling. Median travel duration was short for these travelers: 15 days for those seeking care after completion of travel and 20 days for those seeking care during travel. This finding contradicts the view that preexposure rabies vaccine recommendations should be partly based on longer travel durations. Over half of exposures occurred in Thailand, Indonesia, Nepal, China, and India. International travelers to rabies-endemic regions, particularly Asia, should be informed about potential rabies exposure and benefits of pretravel vaccination, regardless of demographics or length of stay.

authors

  • Connor, Bradley A
  • Gautret, Philippe
  • Harvey, Kira
  • Pandey, Prativa
  • Lim, Poh Lian
  • Leder, Karin
  • Piyaphanee, Watcharapong
  • Shaw, Marc
  • McDonald, Susan C
  • Schwartz, Eli
  • Esposito, Douglas H
  • Parola, Philippe

publication date

  • April 1, 2015

Research

keywords

  • Rabies
  • Rabies virus
  • Travel

Identity

PubMed Central ID

  • PMC4378464

Scopus Document Identifier

  • 84926653848

Digital Object Identifier (DOI)

  • 10.1016/j.vaccine.2011.12.133

PubMed ID

  • 25811076

Additional Document Info

volume

  • 21

issue

  • 4