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Clinical Practice
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Volume 351:2626-2635 December 16, 2004 Number 25
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Prophylaxis against Rabies
Charles E. Rupprecht, V.M.D., M.S., Ph.D., and Robert V. Gibbons, M.D., M.P.H.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A six-month-old girl presents for a "well-baby" appointment in New Jersey. The mother is concerned about a dead bat she found in the child's bedroom.

A Virginia businessman relaxing on his patio after work pulls a toy from his puppy's mouth. He notices a dead raccoon within his fenced yard, where his puppy has been playing, and telephones you for advice.

You . . . [Full Text of this Article]

The Clinical Problem

Nature of the Infection

Transmission

Strategies and Evidence

Prophylaxis

Vaccines

Human Rabies Immune Globulin

Preexposure Vaccination

Areas of Uncertainty

Bats and Rabies

Exposures Other Than Bites

Schedules and Delays

Travel

Pregnancy

Treatment

Guidelines

Summary and Recommendations


Source Information

From the Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta (C.E.R.); and the Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand (R.V.G.).

Address reprint requests to Dr. Rupprecht at the Division of Viral and Rickettsial Diseases, NCID, Centers for Disease Control and Prevention, 1600 Clifton Rd., MS G33, Atlanta, GA 30333, or at cyr5@cdc.gov.


Related Letters:

Prophylaxis against Rabies
Kurathong S., Wilde H., Hemachudha T., Van den Enden E., Rupprecht C. E., Gibbons R. V.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:1608-1610, Apr 14, 2005. Correspondence

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