Fig 1 - available via license: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Content may be subject to copyright.
Source publication
Background
Rabies is found in many countries of the eastern Mediterranean and is one of the most important zoonotic diseases in the world. The study aims to describe rabies suspected exposures (RSE) and rabies prophylaxis practices in Antalya-Turkey between 2010 and 2013.
Methods
All 2513 RSE cases presenting to a rabies vaccination center in Anta...
Context in source publication
Context 1
... one of the most popular touristic city of Turkey, is located in the south-west part of Turkey, has a population about 2. million and (Fig. 1) visited by 6.2 billion travelers in 2016. Health Science University Antalya Training and Research Hospital (HSU-ATRH) is the main rabies center in Antalya. This study aimed to describe the characteristics of RSE and its management and outcome regarding RP ...
Similar publications
In antiquity, rabies was already described as a fatal zoonotic disease whose inexorable prognosis exceeded all the therapeutic alternatives of the most famous doctors. The Chilean reality about this disease at the end of the 19th century was accurately described by the martyred doc-tor Pedro Videla Ordenes in his thesis “La rabia” of 1879, highligh...
Objective
Rabies is a neglected zoonotic disease that can infect all mammals, including humans. We aimed to summarise the current knowledge of the incidence, risk factors and mortality of rabies in Southeast Asia.
Design
Systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020.
Data sources
Scopus, We...
Rabies is a fatal zoonotic disease caused by the rabies virus (RABV), with almost 100% mortality if proper post-exposure prophylaxis (PEP), consisting of rabies immunoglobulin (RIG) and rabies vaccine, is not applied in a timely manner. However, this is challenged by the limited availability of RIG, especially in resource-constrained countries. In...
Rabies is a lethal zoonotic disease that is mainly caused by the rabies virus (RABV). Although effective vaccines have long existed, current vaccines take both time and cost to produce. Messenger RNA (mRNA) technology is an emergent vaccine platform that supports rapid vaccine development on a large scale. Here, an optimized mRNA vaccine construct...
We reported an outbreak of wild rabies in Potus flavus (choznas), a carnivorous mammal associated with insectivorous bats in Kosñipata, Cusco, Peru, from February 2021 to October 2022. Eight human exposures were reported, with aggressive attacks resulting in injuries. The outbreak prompted a public health response and raised concerns about zoonotic...
Citations
... The results of the present study were also consistent with the results in this endemic neighboring country. [46] The results of the review study by Taghreed Alaifan in Arab countries of the region showed that dogs were the main source in most Arab countries studied, except for Oman, where most rabies cases occurred in foxes, and most cases of human rabies have been reported in children less than 15 years of age. [47] Algeria had the highest prevalence of 131 cases per year. ...
Background
Despite a lot of efforts made in the rabies health-care system, Iran is still in an endemic region and millions are spent annually to prevent rabies.
Materials and Methods
Searching in national and international databases has been performed. The preferred reporting items for systematic reviews and meta-analyses protocol were followed. To assess heterogeneity, the I-index was calculated. In addition, sensitivity analysis was performed by the remove-one method. The publication bias was also investigated by Egger's regression test, and the trim and fill method. To perform a meta-analysis, CMA version 2 software was used.
Results
Totally, 33 studies with 250,980 animal-bite cases were meta-analyzed. A summary estimate of the incidence of 1200 per 100,000 population (95% CI 1000, 1500) with a mean age of 29.97±15.13years (95%CI: 29.33, 30.61) was estimated. The rate in men was higher 76.7% (95%CI 74.7%, 78.8%) than in women and in the rural 49.7% (95%CI: 42.8%, 58.6%) was equal in the urban. Most bites occurred in the spring and summer 20.5% (95%CI: 16.1%, 25.9%). The highest of job-related bites was in students 20.1% (95%CI: 19%, 23%). The highest rate of bite location and the animal type were estimated in the order of lower limbs and by dogs respectively. The rate of complete vaccination 61% (95%CI: 43%, 76%) and immunoglobulin injection 39% (95%CI: 22%, 59%), were estimated respectively.
Conclusion
Estimates reveal that there has been little change in the animal bites over the years. It is necessary to take special actions to control the disease at the national and international levels.
... Considering the data in our study from this point of view, there was no increase in the rate of pet bites in the patients who presented to the emergency department over the years. In a recent retrospective study evaluating suspected rabies exposures in southwestern Turkey, Oztoprak et al. reported that 44.4% of cases were caused by a domestic animal [33]. Although there are no certain statistics for our country, there might be an increased proportion of domestic animal attacks related to increased pet ownership in the future. ...
Objectives
This study aimed to evaluate the clinical features, management, and outcomes of patients with animal bites presented to the pediatric emergency department in a tertiary center with animal bites.
Methods
Patients with ICD-10 code W54 (Contact with dog) and W55 (Contact with other mammals) between March 1st, 2017, and July 1st, 2021, were included in the study. Demographic characteristics of the patients, type of contacted animal, wound characteristics (muscle involvement, soft tissue defect, vascular injury, type of nerve injury, and Lackmann’s classification), wound care measurements, tetanus prophylaxis, administration of rabies immunoglobulin and antibiotics, location of the injury, existing fractures, suturing, splinting, surgical consultations and hospitalization status were recorded.
Results
Four hundred and nineteen incidents of animal bites (240 males and 179 females) occurred over a four-year period. 51% was due to dog bite; 47% was by cat. The median age was nine years (IQR: 5–14 years). Most bites (91.6%) involved only a single anatomical site. The extremities were the commonly involved part (right upper limb [35.3%], left upper limb [21.2%], right lower limb [12.6%], left lower limb [16%]). Head-neck and face injury ratio was 17.6%. Torso (5.7%) and genitalia (5.2%) were uncommonly involved. A consultation was requested from at least one surgical department for 8% of the patients. 97.1% of patients received rabies vaccine. Most attacks were trivial and did not require hospitalization.
Conclusion
Animal bites often cause minor injuries. However, multiple dog attacks can be seen related to a high number of stray animals in our country. Therefore, these patients may present major traumas. Surgical intervention and hospitalization may be required. Emergency physicians play an essential role in acute management and rabies prophylaxis in these patients.
The rabies infection is a zoonotic viral disease in humans and is spread by both wild and domestic carnivores. This study aimed to molecularly characterize the field strains of the rabies virus circulating in Turkey between 2013 and 2020. Brain samples obtained from 16 infected animals (8 cattle, one donkey, three foxes, three dogs, and one marten) were tested. Full nucleoprotein (N) and glycoprotein (G) gene sequences were used to determine the genetic and antigenic characteristics of the rabies virus field strains. The phylogenetic analyses revealed that the 16 field strains identified in Turkey belonged to the Cosmopolitan lineage.
