Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory Workers

Macaque-related injuries among primate workers can lead to a potentially fatal B virus encephalomyelitis. We describe a decision tool for evaluating the need for antiviral postexposure prophylaxis and provide a retrospective review of the injuries assessed in our center after its implementation in 2...

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Main Authors: Sapha Barkati, Hashim Ba Taher, Elizabeth Beauchamp, Cédric P. Yansouni, Brian J. Ward, Michael D. Libman
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2019-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/25/9/19-0045_article
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author Sapha Barkati
Hashim Ba Taher
Elizabeth Beauchamp
Cédric P. Yansouni
Brian J. Ward
Michael D. Libman
author_facet Sapha Barkati
Hashim Ba Taher
Elizabeth Beauchamp
Cédric P. Yansouni
Brian J. Ward
Michael D. Libman
author_sort Sapha Barkati
collection DOAJ
description Macaque-related injuries among primate workers can lead to a potentially fatal B virus encephalomyelitis. We describe a decision tool for evaluating the need for antiviral postexposure prophylaxis and provide a retrospective review of the injuries assessed in our center after its implementation in 2010. Among the injuries studied (n = 251), 40.6% were categorized as high-risk (prophylaxis recommended), 44.2% moderate-risk (consider prophylaxis), and 15.1% low-risk (prophylaxis not recommended). Ten percent of low-risk and 98% of high-risk injuries received prophylaxis (p<0.001). Compared with using universal postexposure prophylaxis, using a decision tool can lead to a standardization of practice and a reduction in prescriptions for antiviral medication.
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spelling doaj.art-896b0230edec4da1ba1298a9f976f0b62022-12-22T01:49:45ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592019-09-012591610.3201/eid2509.190045Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory WorkersSapha BarkatiHashim Ba TaherElizabeth BeauchampCédric P. YansouniBrian J. WardMichael D. LibmanMacaque-related injuries among primate workers can lead to a potentially fatal B virus encephalomyelitis. We describe a decision tool for evaluating the need for antiviral postexposure prophylaxis and provide a retrospective review of the injuries assessed in our center after its implementation in 2010. Among the injuries studied (n = 251), 40.6% were categorized as high-risk (prophylaxis recommended), 44.2% moderate-risk (consider prophylaxis), and 15.1% low-risk (prophylaxis not recommended). Ten percent of low-risk and 98% of high-risk injuries received prophylaxis (p<0.001). Compared with using universal postexposure prophylaxis, using a decision tool can lead to a standardization of practice and a reduction in prescriptions for antiviral medication.https://wwwnc.cdc.gov/eid/article/25/9/19-0045_articleherpes B virus infectionB virusmonkey B virusmacacine alphaherpesvirus 1macaqueantiviral agents
spellingShingle Sapha Barkati
Hashim Ba Taher
Elizabeth Beauchamp
Cédric P. Yansouni
Brian J. Ward
Michael D. Libman
Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory Workers
Emerging Infectious Diseases
herpes B virus infection
B virus
monkey B virus
macacine alphaherpesvirus 1
macaque
antiviral agents
title Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory Workers
title_full Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory Workers
title_fullStr Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory Workers
title_full_unstemmed Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory Workers
title_short Decision Tool for Herpes B Virus Antiviral Prophylaxis after Macaque-Related Injuries in Research Laboratory Workers
title_sort decision tool for herpes b virus antiviral prophylaxis after macaque related injuries in research laboratory workers
topic herpes B virus infection
B virus
monkey B virus
macacine alphaherpesvirus 1
macaque
antiviral agents
url https://wwwnc.cdc.gov/eid/article/25/9/19-0045_article
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