Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017

Introduction: Around the world 60,000 people die from rabies each year. The main form of exposure to rabies is by the bite of animals infected with the virus. More than 20,000 cases of rabies-transmitting animal bites are reported each year, in El Salvador, a country located in Central America. Peop...

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Main Authors: Larisa Chavarría, Edgar Quinteros, Mario Sánchez, Rhina Domínguez
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5148;epage=5154;aulast=Chavarría
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author Larisa Chavarría
Edgar Quinteros
Mario Sánchez
Rhina Domínguez
author_facet Larisa Chavarría
Edgar Quinteros
Mario Sánchez
Rhina Domínguez
author_sort Larisa Chavarría
collection DOAJ
description Introduction: Around the world 60,000 people die from rabies each year. The main form of exposure to rabies is by the bite of animals infected with the virus. More than 20,000 cases of rabies-transmitting animal bites are reported each year, in El Salvador, a country located in Central America. People exposed should be managed with rabies prophylaxis. Objective: To determine the abandonment of post-exposure prophylaxis (PEP) cumulative incidence (CI) in humans bitten by suspected rabid animals in El Salvador from 2013 to 2017. Methodology: This is an ecological study based on the cases of bites by suspected rabid animals reported between 2013 and 2017 in the public health system of El Salvador. Descriptive and correlation analysis was performed using Statistical Package for the Social Sciences (SPSS) version 24. The municipality CI, expressed per 100,000 inhabitants. Results: The national CI of abandonment PEP in humans bitten by suspected rabid animals was 25.6 × 100,000 inhabitants. Simple bivariate correlation analysis shows that the departments with the highest CI of bites caused by cats, wild animals, and bites on the neck (R2 = 0.99 P < 0.05) are mostly associated with dropping out of the PEP. Conclusion: In El Salvador, the abandonment CI of PEP is lower than other countries, however, bites by rabid suspected animal are frequent, this represents a public health problem due to the presence of the rabies virus in wild animals and the high lethality of the disease. Municipalities where head bites are common are the most related to the abandonment of PEP.
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spelling doaj.art-b4770a167a3b4c769c6b53a9728876ce2022-12-22T04:14:03ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011195148515410.4103/jfmpc.jfmpc_1699_21Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017Larisa ChavarríaEdgar QuinterosMario SánchezRhina DomínguezIntroduction: Around the world 60,000 people die from rabies each year. The main form of exposure to rabies is by the bite of animals infected with the virus. More than 20,000 cases of rabies-transmitting animal bites are reported each year, in El Salvador, a country located in Central America. People exposed should be managed with rabies prophylaxis. Objective: To determine the abandonment of post-exposure prophylaxis (PEP) cumulative incidence (CI) in humans bitten by suspected rabid animals in El Salvador from 2013 to 2017. Methodology: This is an ecological study based on the cases of bites by suspected rabid animals reported between 2013 and 2017 in the public health system of El Salvador. Descriptive and correlation analysis was performed using Statistical Package for the Social Sciences (SPSS) version 24. The municipality CI, expressed per 100,000 inhabitants. Results: The national CI of abandonment PEP in humans bitten by suspected rabid animals was 25.6 × 100,000 inhabitants. Simple bivariate correlation analysis shows that the departments with the highest CI of bites caused by cats, wild animals, and bites on the neck (R2 = 0.99 P < 0.05) are mostly associated with dropping out of the PEP. Conclusion: In El Salvador, the abandonment CI of PEP is lower than other countries, however, bites by rabid suspected animal are frequent, this represents a public health problem due to the presence of the rabies virus in wild animals and the high lethality of the disease. Municipalities where head bites are common are the most related to the abandonment of PEP.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5148;epage=5154;aulast=Chavarríael salvadorhuman bitepatient abandonmentpost-exposure prophylaxisrabies
spellingShingle Larisa Chavarría
Edgar Quinteros
Mario Sánchez
Rhina Domínguez
Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017
Journal of Family Medicine and Primary Care
el salvador
human bite
patient abandonment
post-exposure prophylaxis
rabies
title Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017
title_full Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017
title_fullStr Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017
title_full_unstemmed Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017
title_short Prophylactic treatment abandonment in people bitten by suspected rabid animals, El Salvador, 2013-2017
title_sort prophylactic treatment abandonment in people bitten by suspected rabid animals el salvador 2013 2017
topic el salvador
human bite
patient abandonment
post-exposure prophylaxis
rabies
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5148;epage=5154;aulast=Chavarría
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AT edgarquinteros prophylactictreatmentabandonmentinpeoplebittenbysuspectedrabidanimalselsalvador20132017
AT mariosanchez prophylactictreatmentabandonmentinpeoplebittenbysuspectedrabidanimalselsalvador20132017
AT rhinadominguez prophylactictreatmentabandonmentinpeoplebittenbysuspectedrabidanimalselsalvador20132017