Evidence map›Paper›PMID 39592563›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2025

Long-term serological response and boostability of intradermal rabies immunization: A retrospective chart review.

Eileen J Burnett, Rachel J Mcpherson, Joshua P Aquin, Ka Yan Xu, Pierre J Plourde

Abstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eileen J BurnettDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Rachel J McphersonDepartment of Information Management and Analytics, Manitoba Health, Winnipeg, MB, Canada.
Joshua P AquinDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Ka Yan XuDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Pierre J PlourdeDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada. pierre.plourde@umanitoba.ca.ORCID 0000-0003-3089-4335

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRabies vaccines in Canada are currently labeled for intramuscular use only; however, intradermal vaccine administration may be equally effective. This study aims to assess the immediate and long-term (≥ 2 years) serological response and boostability of intradermal administration of rabies vaccine for pre-exposure prophylaxis.

methodsThis retrospective cohort study was conducted using data from electronic medical records at the Winnipeg Regional Health Authority Travel Health & Tropical Medicine Services Clinic. Individuals ≥ 18 years of age at time of vaccination who received at least 3 × 0.1 mL doses of intradermal rabies vaccine were included. All charts were reviewed to extract post-primary immunization and post-booster serology results, and t-tests were conducted to evaluate seroprotection (defined as serology ≥ 0.5 IU/mL).

resultsA total of 324 individuals received an intradermal rabies primary pre-exposure vaccination series with follow-up serology within 90 days. Seroprotection was observed in 96% (GMT = 3.36 IU/mL, 95% CI 3.07-3.68). Of these, 68 had serology results 1.8-2.5 years later, with seroprotection declining to 44% (GMT = 0.52 IU/mL, 95% CI 0.41-0.65). However, 100% seroprotection was observed in those who received an intradermal booster dose at ≥ 2 years with follow-up serology (n = 20, GMT = 4.7 IU/mL, 95% CI 3.7-6.2).

conclusionIntradermal administration of a primary pre-exposure rabies vaccine series demonstrates a strong serological response. While titers decline over time, the robust serological response demonstrated after a single intradermal booster vaccine dose suggests that a strong anamnestic immune response was maintained. This finding supports existing evidence that intradermal administration of rabies vaccines can be used effectively for rabies pre-exposure and post-exposure prophylaxis.

Indexed as

Immunization, SecondaryRabiesRabies VaccinesAdolescentAdultAgedCanadaFemaleHumansInjections, IntradermalMaleMiddle AgedPre-Exposure ProphylaxisRetrospective StudiesYoung AdultRabies VaccinesBoostabilityIntradermalRabiesSerologyVaccine

Identifiers

PMID39592563
PMCPMC12684822

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.