View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
FRIDAY, Nov. 18 (HealthDay News) -- During a 10-year period of reporting concurrent with implementation of revised post-exposure prophylaxis (PEP) guidelines for bat rabies, there were increases in the number of bats submitted for testing, reports of exposure, and instances of human PEP, according to a letter published online Nov. 16 in the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.
Millicent Eidson, from the New York State Department of Health in Albany, and colleagues investigated the effects of terrestrial and bat rabies on human PEP during the period of implementation of revised PEP guidelines (from 1993 to 2002).
The investigators found that during 1993 to 2002, the number of incidents of bat-associated rabies exposure (6,320 cases) and PEP use (11,365 cases) increased seven- and nine-fold, respectively. There was a significantly increasing trend for PEP from non-bite exposure, accounting for 88 percent of all PEP. Seven percent of PEP was due to rabies-positive bats, with a significantly decreasing trend. The increase in PEP was mainly due to untested bats (89 percent), with non-bite exposure to untested bats accounting for three quarters of administered PEP. Of the 8,244 PEP cases reported since 1998, 53.2 percent were for females. There was a four-fold increase in the number of bats submitted for testing (8,649 bats) that may have had contact with humans, and among them, 3 percent were rabies-positive, 89 percent were rabies-negative, and 7 percent had unsatisfactory testing. Bats for which non-bite contact was reported comprised 86 percent of those provided for testing.
"Although the cause and increases cannot be definitively determined, the increases were consistent with changes in guidelines and public education," the authors write.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top