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

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

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1
Universidade Federal do Ceará, Faculdade de Medicina, Programa de Pós Graduação em Saúde Pública, Fortaleza, CE, Brasil.

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.

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