title: [Adherence to rabies vaccine treatment for people exposed to rabies in Abidjan (Côte d' Ivoire)].
abstract: This descriptive retrospective study ran from August 2003 to December 2003 at the Rabies Center of the National Institute of Public Health in Abidjan. It covers subjects at risk of rabies transmission during 2004. Identification of participants in the study was made via a census of patients consulting the rabies clinic: a total of 533 subjects were included, predominantly male (54.6%), without gainful employment (57%), with an average age of 26.7 years. Those who lived outside the city of Abidjan accounted for 21.6%. In 88.2% of cases, they were exposed due to a bite. Dogs (90.8%) represented the main species responsible for this kind of exposure. Only 3.2% of these animals had a current valid rabies vaccine. The owner of the animal was not known in 71% of cases. The observance of the recommended immunization schedule for 4 doses was 53.1%. Of the 533 patients registered in the study, 46.9% had stopped treatment vaccine. Some factors have been identified as adversely affecting adherence, such as the vaccination treatment plan of 5 doses, exposure outside the city of Abidjan, unemployment, incurrence of superficial injuries, exposure from an animal bite and lack of immunization of the animal. The results show that the strategies against rabies must focus increasingly on the importance of adherence to treatment and education of the population vis-à-vis the risk of rabies.
authors.affiliation: Département de Santé Publique et de Mèdecine Communautaire, Université de Cocody, bd de l'Université de Cocody 01, BP V 166 Abidjan, Côte d'Ivoire.
authors.forename: Issaka
authors.initials: I
authors.lastname: Tiembré
authors.forename: Diloma Marie Brigitte
authors.initials: DM
authors.lastname: Aka-Kone
authors.forename: Yao Eugène
authors.initials: YE
authors.lastname: Konan
authors.forename: Joseph Bénié Bi
authors.initials: JB
authors.lastname: Vroh
authors.forename: Daniel Ekra
authors.initials: DE
authors.lastname: Kouadio
authors.forename: Simplice Dagnan
authors.initials: SD
authors.lastname: N'cho
authors.forename: Joseph
authors.initials: J
authors.lastname: Aka
authors.forename: Janine
authors.initials: J
authors.lastname: Tagliante-Saracino
authors.forename: Paul
authors.initials: P
authors.lastname: Odehouri-Koudou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002648:Child; D002675:Child, Preschool; D007560:Cote d'Ivoire / Q000453:epidemiology; D004283:Dog Diseases / Q000635:transmission / Q000821:virology; D004285:Dogs; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D011818:Rabies / Q000453:epidemiology / Q000276:immunology* / Q000635:transmission* / Q000662:veterinary; D011819:Rabies Vaccines / Q000008:administration & dosage*; D014478:Unemployment / Q000706:statistics & numerical data
chemical_list: D011819:Rabies Vaccines