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Rabies intradermal post-exposure vaccination of humans using reconstituted and stored vaccine

机译:使用重组和储存的疫苗对人进行狂犬病皮内暴露后疫苗接种

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摘要

Thailand's northern Petchabun province is endemic for canine rabies. There were 27 reported human rabies deaths between 1989 and 1998. A rabies control plan was formulated in 1997 between medical and veterinary public health officials. It started an intense education pro,gram and an ongoing dog vaccination campaign. Economic constraints and the high cost of biological were the main reasons for inadequate human post-exposure management (PET). It was therefore decided to use the economical Thai Red Cross Intradermal Vaccine Regimen (TRC-ID) throughout the province. The original TRC-ID method is only suitable for clinics that see more than one PET patient daily. TRG-ID was therefore modified by storing the reconstituted vaccine in a refrigerator for the same patient's next two visits. Data on a total of 8157 PET patients were collected. An additional modification of TRG-ID also eliminated the 90 day booster. There were no treatment failures and no human rabies deaths in 1999, 2000 and 2001. The modified TRC-ID method induces adequate levels of neutralizing antibodies, protects humans bitten by rabid dogs and results in significant savings in vaccine and travel costs.
机译:泰国北部的碧差汶府是犬狂犬病的地方病。在1989年至1998年之间报告了27例人类狂犬病死亡。1997年,医学和兽医公共卫生官员之间制定了狂犬病控制计划。它开始了严格的教育计划和持续的狗疫苗接种运动。经济限制和高昂的生物成本是人体暴露后管理(PET)不足的主要原因。因此,决定在全省范围内使用经济的泰国红十字会皮内疫苗方案(TRC-ID)。原始的TRC-ID方法仅适用于每天接待多名PET患者的诊所。因此,TRG-ID的修改是将重组疫苗存放在冰箱中,供同一位患者的下两次访问使用。总共收集了8157名PET患者的数据。 TRG-ID的其他修改也消除了90天的增强功能。在1999年,2000年和2001年,没有治疗失败,也没有人类狂犬病死亡。改良的TRC-ID方法可诱导足够水平的中和抗体,保护被狂犬病犬咬伤的人类,并显着节省疫苗和旅行费用。

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