Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019

Detalhes bibliográficos
Autor(a) principal: Estima, Nathalie Mendes
Data de Publicação: 2022
Outros Autores: Wada, Marcelo Yoshito, Rocha, Silene Manrique, Moraes, Deborah Sicchierolli, Ohara, Patrícia Miyuki, Vargas, Alexander, Assis, Dalva Maria de
Tipo de documento: preprint
Idioma: por
Título da fonte: SciELO Preprints
Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/3796
Resumo: Objective: To analyze human anti-rabies post-exposure prophylaxis notifications in Brazil. Methods: This was a descriptive study of human anti-rabies post-exposure prophylaxis care notified on the Notifiable Health Conditions Information System in Brazil between 2014 and 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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spelling Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019Descripción de notificaciones de atención antirrábica humana para la profilaxis posexposición en Brasil, 2014-2019Descrição das notificações de atendimento antirrábico humano para profilaxia pós-exposição no Brasil, 2014-2019RaivaProfilaxia Pós-ExposiçãoVacinas AntirrábicasEpidemiologia DescritivaSaúde PúblicaRabiesPost-Exposure ProphylaxisRabies VaccinesEpidemiology, DescriptivePublic HealthRabiaProfilaxis Post ExposiciónVacunas AntirrábicasEpidemiología DescriptivaSalud PúblicaObjective: To analyze human anti-rabies post-exposure prophylaxis notifications in Brazil. Methods: This was a descriptive study of human anti-rabies post-exposure prophylaxis care notified on the Notifiable Health Conditions Information System in Brazil between 2014 and 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 productsObjetivo: Analizar la atención antirrábica humana de profilaxis post exposición en Brasil, de 2014 a 2019. Métodos: Estudio descriptivo de la atención antirrábica humana de profilaxis post exposición, notificados en el Sistema de Información de Agravamientos de Notificación en Brasil, de 2014 a 2019. Resultados: Se notificaron 4.033.098 atendimientos antirrábicos, con un promedio de 672.183 al año. Hubo mayor porcentual de atención a personas del sexo masculino (n=2.111.369; 52,4%), menores de 19 años (n=1.423.433; 35,3%), residentes en área urbana (n=3.386.589; 88,1%), agredidas por perros (n=3.281.190; 81,5%) y con mordidas (n=3.575.717; 81,9%), principalmente en las manos y pies (n=1.541.201; 35,3%). La conducta profiláctica más frecuente fue la observación y vacuna (n=1.736.036; 44,2%). La conducta profiláctica fue adecuada en 57,8% (n=2.169.689) e inadecuada en 42,2% (n=1.582.411) de los casos. Conclusión: A pesar de las conductas profilácticas adecuadas, se observaron indicaciones inadecuadas que, cuando insuficientes, pueden resultar en casos de rabia humana y, cuando desnecesarias, desperdicios, incluso desabastecimiento de inmunobiológicos.Objetivo: Analisar os atendimentos antirrábicos humanos de profilaxia pós-exposição no Brasil. Métodos: Estudo descritivo dos atendimentos antirrábicos humanos de profilaxia pós-exposição notificados no Sistema de Informação de Agravos de Notificação no Brasil, de 2014 a 2019. Resultados: Foram notificados 4.033.098 atendimentos antirrábicos, com média de 672.183 ao ano. Houve maior percentual de atendimentos em pessoas do sexo masculino (n=2.111.369; 52,4%), menores de 19 anos de idade (n=1.423.433; 35,3%), residentes em área urbana (n=3.386.589; 88,1%), agredidas por cães (n=3.281.190; 81,5%) e com mordeduras (n=3.575.717; 81,9%), principalmente em mãos e pés (n=1.541.201; 35,3%). A conduta profilática mais frequente foi observação e vacina (n=1.736.036; 44,2%). A conduta profilática foi adequada em 57,8% (n=2.169.689) e inadequada em 42,2% (n=1.582.411) dos casos. Conclusão: Apesar das condutas profiláticas adequadas, foram observadas indicações inadequadas que, quando insuficientes, podem acarretar casos de raiva humana e, quando desnecessárias, desperdícios, inclusive desabastecimento de imunobiológicos.SciELO PreprintsSciELO PreprintsSciELO Preprints2022-03-21info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/379610.1590/S1679-49742022000200002porhttps://preprints.scielo.org/index.php/scielo/article/view/3796/7058Copyright (c) 2022 Nathalie Mendes Estima, Marcelo Yoshito Wada, Silene Manrique Rocha, Deborah Sicchierolli Moraes, Patrícia Miyuki Ohara, Alexander Vargas, Dalva Maria de Assishttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Estima, Nathalie Mendes Wada, Marcelo Yoshito Rocha, Silene Manrique Moraes, Deborah Sicchierolli Ohara, Patrícia Miyuki Vargas, Alexander Assis, Dalva Maria de reponame:SciELO Preprintsinstname:SciELOinstacron:SCI2022-03-21T18:38:25Zoai:ops.preprints.scielo.org:preprint/3796Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2022-03-21T18:38:25SciELO Preprints - SciELOfalse
dc.title.none.fl_str_mv Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
Descripción de notificaciones de atención antirrábica humana para la profilaxis posexposición en Brasil, 2014-2019
Descrição das notificações de atendimento antirrábico humano para profilaxia pós-exposição no Brasil, 2014-2019
title Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
spellingShingle Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
Estima, Nathalie Mendes
Raiva
Profilaxia Pós-Exposição
Vacinas Antirrábicas
Epidemiologia Descritiva
Saúde Pública
Rabies
Post-Exposure Prophylaxis
Rabies Vaccines
Epidemiology, Descriptive
Public Health
Rabia
Profilaxis Post Exposición
Vacunas Antirrábicas
Epidemiología Descriptiva
Salud Pública
title_short Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
title_full Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
title_fullStr Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
title_full_unstemmed Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
title_sort Description of human anti-rabies post-exposure prophylaxis care notifications in Brazil, 2014-2019
author Estima, Nathalie Mendes
author_facet Estima, Nathalie Mendes
Wada, Marcelo Yoshito
Rocha, Silene Manrique
Moraes, Deborah Sicchierolli
Ohara, Patrícia Miyuki
Vargas, Alexander
Assis, Dalva Maria de
author_role author
author2 Wada, Marcelo Yoshito
Rocha, Silene Manrique
Moraes, Deborah Sicchierolli
Ohara, Patrícia Miyuki
Vargas, Alexander
Assis, Dalva Maria de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Estima, Nathalie Mendes
Wada, Marcelo Yoshito
Rocha, Silene Manrique
Moraes, Deborah Sicchierolli
Ohara, Patrícia Miyuki
Vargas, Alexander
Assis, Dalva Maria de
dc.subject.por.fl_str_mv Raiva
Profilaxia Pós-Exposição
Vacinas Antirrábicas
Epidemiologia Descritiva
Saúde Pública
Rabies
Post-Exposure Prophylaxis
Rabies Vaccines
Epidemiology, Descriptive
Public Health
Rabia
Profilaxis Post Exposición
Vacunas Antirrábicas
Epidemiología Descriptiva
Salud Pública
topic Raiva
Profilaxia Pós-Exposição
Vacinas Antirrábicas
Epidemiologia Descritiva
Saúde Pública
Rabies
Post-Exposure Prophylaxis
Rabies Vaccines
Epidemiology, Descriptive
Public Health
Rabia
Profilaxis Post Exposición
Vacunas Antirrábicas
Epidemiología Descriptiva
Salud Pública
description Objective: To analyze human anti-rabies post-exposure prophylaxis notifications in Brazil. Methods: This was a descriptive study of human anti-rabies post-exposure prophylaxis care notified on the Notifiable Health Conditions Information System in Brazil between 2014 and 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
publishDate 2022
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