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Human rabies: a review

R H Baevsky1, J M Bartfield

  • 1Department of Emergency Medicine, Albany Medical Center, NY 12208.

The American Journal of Emergency Medicine
|May 1, 1993
PubMed
Summary

Rabies is rare but often prevented in North America. This review covers rabies epidemiology, diagnosis, and management, focusing on emergency physicians and prophylaxis recommendations.

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Area of Science:

  • Veterinary Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Rabies is a viral disease with a high fatality rate, necessitating prompt prophylaxis.
  • Understanding rabies epidemiology is crucial for effective public health strategies.
  • Emergency physicians play a key role in the initial management of potential rabies exposure.

Observation:

  • This review details a typical emergency department case of potential human rabies exposure.
  • It summarizes the epidemiology, clinical presentation, diagnosis, and management of rabies virus.
  • Emphasis is placed on practical considerations for emergency physicians in the United States.

Findings:

  • Current recommendations for active and passive immunotherapy for pre- and post-exposure prophylaxis are discussed.
  • A treatment algorithm is provided to guide animal management and patient therapy decisions.
  • The review includes insights into future prospects for controlling rabies in wild animal populations.

Implications:

  • This resource aids emergency physicians in managing rabies exposure cases effectively.
  • It highlights the importance of timely prophylaxis in preventing human rabies.
  • Understanding rabies control in wildlife is essential for reducing transmission risk to humans.

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