Table 2. Distribution of human anti-rabies post-exposure care (n = 4,033,098) according to epidemiological background and current prophylaxis, Brazil, 2014-2019.
Variables | n | % |
---|---|---|
Epidemiological background | ||
Type of exposurea (n = 4,368,254) | ||
Bite | 3,575,717 | 81.9 |
Scratch | 601,256 | 13.7 |
Lick | 105,643 | 2.4 |
Indirect contact | 52,294 | 1.2 |
Other | 33,344 | 0.8 |
Location of the wounda (n = 4,360,995) | ||
Hands/feet | 1,541,201 | 35.3 |
Lower limbs | 1,488,110 | 34.1 |
Upper limbs | 704,660 | 16.2 |
Head/neck | 337,007 | 7.7 |
Torso | 200,210 | 4.6 |
Mucous membrane | 89,807 | 2.1 |
Wound (n = 3,908,181) | ||
Single | 2,336,416 | 59.8 |
Multiple | 1,541,099 | 39.4 |
Not wounded | 30,666 | 0.8 |
Type of wounda (n = 3,948,063) | ||
Surface | 2,015,477 | 51.0 |
Deep | 1,719,434 | 43.6 |
Laceration | 213,152 | 5.4 |
Attacking animal species (n = 4,028,237) | ||
Dog | 3,281,190 | 81.5 |
Cat | 612,690 | 15.2 |
Bat | 31,786 | 0.8 |
Primate | 19,769 | 0.5 |
Fox | 5,661 | 0.1 |
Domestic herbivore | 11,288 | 0.3 |
Other | 65,853 | 1.6 |
Status of the animal (n = 3,872,508) | ||
Healthy | 2,762,232 | 71.3 |
Suspect | 638,614 | 16.5 |
Dead/missing | 455,362 | 11.8 |
Rabid | 16,300 | 0.4 |
Current prophylaxis | ||
Final status of the animal (n = 2,420,706) | ||
Rabies negative (clinical) | 2,083,834 | 86.1 |
Dead/put down/no diagnosis | 283,273 | 11.7 |
Rabies negative (laboratory) | 42,593 | 1.8 |
Rabies positive (clinical) | 5,057 | 0.2 |
Rabies positive (laboratory) | 5,949 | 0.2 |
Prophylaxis indicated (n = 3,929,787) | ||
Observation + vaccination | 1,736,036 | 44.2 |
Observation of animal | 1,044,030 | 26.6 |
Vaccination | 754,452 | 19.2 |
Anti-rabies serum + vaccination | 329,124 | 8.4 |
Prophylaxis waived | 56,850 | 1.4 |
Reexposure regimen | 9,295 | 0.2 |
Prophylaxis interrupted (n = 2,226,105) | ||
No | 1,684,981 | 75.7 |
Yes | 541,124 | 24.3 |
Reason for interruption (n = 541,124) | ||
Dropout | 339,356 | 62.7 |
Indicated by health center | 167,363 | 30.9 |
Transfer | 34,405 | 6.4 |
Active tracing, carried out by health center (n = 307,048) | ||
Yes | 236,862 | 77.1 |
No | 70,186 | 22.9 |
Anti-rabies serum indicated (n = 2,133,632) | ||
No | 1,867,673 | 87.5 |
Yes | 265,959 | 12.5 |
a) More than one category allowed.