Rabies exposures and pre-exposure vaccination practices among individuals with an increased risk of rabies exposure in the United States

Jesse D. Blanton, Emily Colwell, Cynthia L. Walden, Lessie M. Davis, Christine Hoang, Julie A. Legred, Emily G. Pieracci, Ryan M. Wallace, Mark H. Ebell, Zhen F. Fu, Stephanie A. Shwiff, Joel M. Lee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

OBJECTIVE To identify knowledge and practices related to rabies vaccination and serologic monitoring among animal care workers in the United States. DESIGN Cross-sectional survey. SAMPLE 2,334 animal care workers (ie, veterinarians, veterinary technicians, animal control workers, and wildlife rehabilitators). PROCEDURES Participants were contacted through relevant professional organizations to participate in an anonymous web-based survey. The survey collected demographic and occupational information, animal handling and potential rabies exposure information, and individual rabies vaccination and serologic monitoring practices. Comparisons of animal bite and rabies exposure rates were made between occupational groups. Multiple logistic regression was used to evaluate factors associated with rabies vaccination status and adherence to serologic monitoring recommendations. RESULTS Respondents reported 0.77 animal bites/person-year or 0.10 bites/1,000 animals handled. The overall rate of postexposure prophylaxis due to an occupational rabies exposure was 1.07/100 person-years. Veterinarians reported the highest rabies vaccination rate (98.7% [367/372]), followed by animal control workers (78.5% [344/438]), wildlife rehabilitators (78.2% [122/156]), and veterinary technicians (69.3% [937/1,352]). Respondents working for employers requiring rabies vaccination and serologic monitoring were 32.16 and 6.14 times, respectively, as likely to be vaccinated or have a current serologic monitoring status as were respondents working for employers without such policies. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that, given the high reported rates of animal bites and potential rabies exposures among animal care workers, improvements in rabies vaccination and serologic monitoring practices are needed.

Original languageEnglish (US)
Pages (from-to)1491-1502
Number of pages12
JournalJournal of the American Veterinary Medical Association
Volume252
Issue number12
DOIs
StatePublished - Jun 15 2018

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Rabies
rabies
Vaccination
vaccination
animal technicians
Bites and Stings
monitoring
Animal Technicians
animals
Veterinarians
veterinarians
wildlife
animal handling
Occupational Groups
Occupational Exposure
cross-sectional studies
disease control
demographic statistics
Cross-Sectional Studies
Logistic Models

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Rabies exposures and pre-exposure vaccination practices among individuals with an increased risk of rabies exposure in the United States. / Blanton, Jesse D.; Colwell, Emily; Walden, Cynthia L.; Davis, Lessie M.; Hoang, Christine; Legred, Julie A.; Pieracci, Emily G.; Wallace, Ryan M.; Ebell, Mark H.; Fu, Zhen F.; Shwiff, Stephanie A.; Lee, Joel M.

In: Journal of the American Veterinary Medical Association, Vol. 252, No. 12, 15.06.2018, p. 1491-1502.

Research output: Contribution to journalArticle

Blanton, JD, Colwell, E, Walden, CL, Davis, LM, Hoang, C, Legred, JA, Pieracci, EG, Wallace, RM, Ebell, MH, Fu, ZF, Shwiff, SA & Lee, JM 2018, 'Rabies exposures and pre-exposure vaccination practices among individuals with an increased risk of rabies exposure in the United States', Journal of the American Veterinary Medical Association, vol. 252, no. 12, pp. 1491-1502. https://doi.org/10.2460/javma.252.12.1491
Blanton, Jesse D. ; Colwell, Emily ; Walden, Cynthia L. ; Davis, Lessie M. ; Hoang, Christine ; Legred, Julie A. ; Pieracci, Emily G. ; Wallace, Ryan M. ; Ebell, Mark H. ; Fu, Zhen F. ; Shwiff, Stephanie A. ; Lee, Joel M. / Rabies exposures and pre-exposure vaccination practices among individuals with an increased risk of rabies exposure in the United States. In: Journal of the American Veterinary Medical Association. 2018 ; Vol. 252, No. 12. pp. 1491-1502.
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AU - Fu, Zhen F.

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