Heterogeneity of Rabies Vaccination Recommendations across Asia
AbstractAsian countries bear the greatest burden of the disease, with a majority (59%) of rabies-related deaths occurring in Asia. In order to promote best practices, we summarized national human vaccination guidelines across this region, to highlight differences and similarities and to discuss the aspects that would benefit from updates. National management guidelines for rabies were retrieved from various sources to extract information on rabies pre- and post-exposure prophylaxis (PrEP, and PEP), booster vaccination, and route of administration. Rabies guidelines recommendations for wound management and PrEP across Asia are broadly aligned to the World Health Organization (WHO) guidelines. For PEP, the 5-dose Essen, and the 4-dose Zagreb are the regimens of choice for intramuscular (IM), and the Thai Red Cross regimen for intradermal (ID), administration. Several national guidelines have yet to endorse ID vaccine administration. Most guidelines recommend rabies immunoglobulin in category III exposures. Booster recommendations are not included in all guidelines, with limited clarity on booster requirement across the spectrum of risk of rabies exposure. In conclusion, national recommendations across Asian countries differ and while some guidelines are closely aligned to the WHO recommendations, resource-saving ID administration and use of rational abbreviated schedules have yet to be endorsed. View Full-Text
Scifeed alert for new publicationsNever miss any articles matching your research from any publisher
- Get alerts for new papers matching your research
- Find out the new papers from selected authors
- Updated daily for 49'000+ journals and 6000+ publishers
- Define your Scifeed now
Buchy, P.; Preiss, S.; Singh, V.; Mukherjee, P. Heterogeneity of Rabies Vaccination Recommendations across Asia. Trop. Med. Infect. Dis. 2017, 2, 23.
Buchy P, Preiss S, Singh V, Mukherjee P. Heterogeneity of Rabies Vaccination Recommendations across Asia. Tropical Medicine and Infectious Disease. 2017; 2(3):23.Chicago/Turabian Style
Buchy, Philippe; Preiss, Scott; Singh, Ved; Mukherjee, Piyali. 2017. "Heterogeneity of Rabies Vaccination Recommendations across Asia." Trop. Med. Infect. Dis. 2, no. 3: 23.
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.