Factors Limiting the Appropriate Use of Rabies Post-exposure Prophylaxis by Health Professionals in Brazil

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity of Glasgow-
Autor(es): dc.contributorState Department of Health of Rio Grande do Sul-
Autor(es): dc.contributorState Department of Health of Rio Grande do Norte-
Autor(es): dc.contributorState Department of Health of Santa Catarina-
Autor(es): dc.contributorUniversidad Andres Bello-
Autor(es): dc.contributorUniversité de Montpellier-
Autor(es): dc.creatorSilva, Ramiro M. da-
Autor(es): dc.creatorMegid, Jane-
Autor(es): dc.creatorHampson, Katie-
Autor(es): dc.creatorCampos, Aline Alves Scarpellini-
Autor(es): dc.creatorHigashi, Cintia S.-
Autor(es): dc.creatorMedeiros, Fabíola S.-
Autor(es): dc.creatorPereira, Alexandra S.-
Autor(es): dc.creatorBenavides, Julio A.-
Data de aceite: dc.date.accessioned2025-08-21T19:49:42Z-
Data de disponibilização: dc.date.available2025-08-21T19:49:42Z-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2022-05-06-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.3389/fvets.2022.846994-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/240131-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/240131-
Descrição: dc.descriptionPost-exposure prophylaxis (PEP) is necessary to prevent the fatal onset of rabies but requires optimization to avoid overuse in populations at risk of rabies. In Brazil, the incidence of dog bites remains high, with almost half of dog-bite patients not receiving the PEP recommended by the Ministry of Health guidelines between 2008 and 2017. In this study, we aimed to identify the factors that limit the appropriate prescribing of PEP by interviewing health professionals responsible for PEP administration and completion of the ‘Information System on Diseases of Compulsory Declaration’ (SINAN) form reporting human anti-rabies care for patients seeking health care after a dog bite. We conducted 147 questionnaires (45 questions each) in three Brazilian states (i.e., Rio Grande do Sul, Santa Catarina, Rio Grande do Norte) including questions related to the criteria used by professionals to classify a dog as “suspect” or “rabid”, knowledge on PEP prescription guidelines, SINAN and communication with veterinarians. Our analyses showed that most health professionals delivering PEP in these three states struggle to identify a rabies “suspect” dog according to the Ministry of Health guidelines, and to indicate the adequate PEP regimen, with only 11% of professionals prescribing the appropriate PEP under various dog-bite patient scenarios. PEP knowledge score was higher among professionals trained on PEP guidelines and working in facilities with the highest incidence of dog bites. In contrast, PEP knowledge scores did not vary significantly between states, and were not correlated to the professional's level of experience, the number of colleagues available at the health unit or the professional's confidence on prescribing appropriate PEP. Our results suggest that knowledge gaps in PEP administration among health professionals of Brazil can be reduced by implementing training programs to differentiate among rabies risk scenarios, prescribe the corresponding appropriate PEP and improve communication between health and veterinary authorities.-
Descrição: dc.descriptionWellcome Trust-
Descrição: dc.descriptionDepartment of Veterinary Hygiene and Public Health São Paulo State University-
Descrição: dc.descriptionInstitute of Biodiversity Animal Health and Comparative Medicine College of Medical Veterinary and Life Sciences University of Glasgow-
Descrição: dc.descriptionPrograma Estadual de Controle e Profilaxia da Raiva State Department of Health of Rio Grande do Sul-
Descrição: dc.descriptionCoordenação de Promoção à Saúde State Department of Health of Rio Grande do Norte-
Descrição: dc.descriptionDiretoria de Vigilância Epidemiológica State Department of Health of Santa Catarina-
Descrição: dc.descriptionDoctorado en Medicina de la Conservación y Centro de Investigación para la Sustentabilidad Facultad de Ciencias de la Vida Universidad Andres Bello-
Descrição: dc.descriptionUniversité de Montpellier-
Descrição: dc.descriptionDepartment of Veterinary Hygiene and Public Health São Paulo State University-
Idioma: dc.languageen-
Relação: dc.relationFrontiers in Veterinary Science-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectbites-
Palavras-chave: dc.subjectdogs-
Palavras-chave: dc.subjectLatin America-
Palavras-chave: dc.subjectOne Health-
Palavras-chave: dc.subjectPEP-
Palavras-chave: dc.subjectquestionnaires-
Palavras-chave: dc.subjectsurveillance-
Título: dc.titleFactors Limiting the Appropriate Use of Rabies Post-exposure Prophylaxis by Health Professionals in Brazil-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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