ArticlePLoS neglected tropical diseases2017
Improper wound treatment and delay of rabies post-exposure prophylaxis of animal bite victims in China: Prevalence and determinants.
Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Rabies in Southeast Asia: a systematic review of its incidence, risk factors and mortality.BMJ open · 2023Pooled it
- Human rabies despite post-exposure prophylaxis: a systematic review of fatal breakthrough infections after zoonotic exposures.The Lancet. Infectious diseases · 2023Pooled it
- Delay in initiation of rabies post-exposure vaccination and influencing factors in Gondar zones of Ethiopia.PLoS neglected tropical diseases · 2026Article
- Determinants of Rabies Post-Exposure Prophylaxis Compliance in Bangladesh: Informing Policy for Elimination by 2030.Tropical medicine and infectious disease · 2026Article
- Effects of a school-based programme on learners' rabies awareness in Machakos, Kenya.Epidemiology and infection · 2026Article
- Refractory Mycobacterium fortuitum skin and soft tissue infection following dog bite in a pediatric patient: a case report.BMC pediatrics · 2026Article
- Epidemiological Characteristics of Human Rabies in Chongqing, China, 2016-2024.Tropical medicine and infectious disease · 2026Article
- Clinic-based characteristics of animal-related injury presentations in Hangzhou, China: a 10-year retrospective analysis.Frontiers in public health · 2026Article
- Local wound care and circumstances of animal bite reported by attendees of a rabies vaccination clinic in Kolkata.Journal of family medicine and primary care · 2025Article
- Article
- Epidemiological Analysis of Cases of Animal Bite Injuries at Rabies Prevention Centers Affiliated with Iranshahr University of Medical Sciences.Journal of preventive medicine and hygiene · 2024Article
- Rabies vaccination adherence and associated factors among rabies-exposed patients in Shenzhen, China: a hospital-based cross-sectional study.Epidemiology and infection · 2024Article
- Surgical treatment of mammalian bites----experience in the management of facial wounds by dog and cat bite in China.International journal of burns and trauma · 2024Article
- Article
- Tracking lethal threat: in-depth review of rabies.Open veterinary journal · 2023Review
- Progress towards dog-mediated rabies elimination in PR China: a scoping review.Infectious diseases of poverty · 2023Article
- Factors Associated with Delayed Rabies Post-Exposure Prophylaxis among Dog Bite Victims in Nyagatare District, Rwanda, 2017 to 2019.Rwanda journal of medicine and health sciences · 2023Article
- Determinants of Rabies Post-exposure Prophylaxis Drop-Out in the Region of San-Pedro, Côte d'Ivoire.Frontiers in veterinary science · 2022Article
- Knowledge, attitudes and practices regarding to rabies and its prevention and control among bite victims by suspected rabid animals in China.One health (Amsterdam, Netherlands) · 2021Article
- Delays in initiating rabies post-exposure prophylaxis among dog bite victims in Wakiso and Kampala districts, Uganda.AAS open research · 2021Article
Corrections and comments
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Authors and funding
14 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRabies is invariably a fatal disease. Appropriate wound treatment and prompt rabies post-exposure prophylaxis (PEP) are of great importance to rabies prevention. The objective of this study was to investigate the prevalence and influencing factors of improper wound treatment and delay of rabies PEP after an animal bite in Wuhan, China. METHODOLOGY: This cross-sectional study was conducted among animal bite victims visiting rabies prevention clinics (RPCs). We selected respondents by a multistage sampling technique. A face-to-face interview was conducted to investigate whether the wound was treated properly and the time disparity between injury and attendance to the RPCs. Determinants of improper wound treatment and delay of rabies PEP were identified by a stepwise multivariate logistic regression analysis. PRINCIPAL
findingsIn total, 1,015 animal bite victims (564 women and 451 men) responded to the questionnaire, and the response rate was 93.98%. Overall, 81.2% of animal bite victims treated their wounds improperly after suspected rabies exposure, and 35.3% of animal bite victims delayed the initiation of PEP. Males (OR = 1.871, 95% CI: 1.318-2.656), residents without college education (OR = 1.698, 95% CI: 1.203-2.396), participants liking to play with animals (OR = 1.554, 95% CI: 1.089-2.216), and people who knew the fatality of rabies (OR = 1.577, 95% CI: 1.096-2.270), were more likely to treat wounds improperly after an animal bite. Patients aged 15-44 years (OR = 2.324, 95% CI: 1.457-3.707), who were bitten or scratched by a domestic animal (OR = 1.696, 95% CI: 1.103-2.608) and people who knew the incubation period of rabies (OR = 1.844, 95% CI: 1.279-2.659) were inclined to delay the initiation of PEP.
conclusionsOur investigation shows that improper wound treatment and delayed PEP is common among animal bite victims, although RPCs is in close proximity and PEP is affordable. The lack of knowledge and poor awareness might be the main reason for improper PEP. Educational programs and awareness raising campaigns should be a priority to prevent rabies, especially targeting males, the less educated and those aged 15-44 years.
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