Post-exposure human rabies prophylaxis: spatial patterns of inadequate procedures in Ceará - Brazil, 2007 to 2015

Rev Soc Bras Med Trop. 2019 Dec 20:53:e20190247. doi: 10.1590/0037-8682-0247-2019. eCollection 2019.

Abstract

Introduction: This study investigated the spatial distribution of inappropriate post-exposure human rabies procedures in Ceará, Brazil, between 2007 and 2015.

Methods: The ecological study population was based on the records of post-exposure human rabies procedures from the Notification Disease Information System. We analyzed the data using the Moran Index (I) and the Moran Local Index.

Results: There were 222,036 (95.8%) records with inappropriate post-exposure human rabies procedures. There was heterogeneity in their spatial distribution, with two significant clusters in the northeast and northwest regions.

Conclusions: These findings help elaborate differentiated strategies to reduce unnecessary post-exposure human rabies procedures.

MeSH terms

  • Disease Notification
  • Humans
  • Post-Exposure Prophylaxis / methods
  • Post-Exposure Prophylaxis / statistics & numerical data*
  • Rabies / prevention & control*
  • Rabies Vaccines / administration & dosage*
  • Spatial Analysis

Substances

  • Rabies Vaccines