Trend of human rabies prophylaxis in developing countries: Toward optimal rabies immunization

Vaccine
http://www.sciencedirect.com/science/journal/0264410X
Volume 31, Issue 38, Pages 4055-4216 (28 August 2013)

Trend of human rabies prophylaxis in developing countries: Toward optimal rabies immunization
Review Article
Pages 4079-4083
Nitipong Permpalung, Supakanya Wongrakpanich, Sira Korpaisarn, Pansakorn Tanratana, Jaruboot Angsanakul

Abstract
Rabies is a fatal infectious disease. Because prevention is the key management for rabies, many vaccination regimens have been developed and used worldwide. The aims for developing rabies vaccination regimens include decreasing the number and amount of dosages, decreasing the duration and the number of clinical visits, and reducing cost. Interestingly, some intradermal (ID) regimens have proved to be as effective as the standard intramuscular (IM) regimens, and have been increasingly used in developing countries because they are less expensive. In this article, we reviewed rabies vaccines based on results obtained from clinical trials and international treatment guidelines for post-exposure prophylaxis, pre-exposure prophylaxis for the high risk group, and booster vaccination.