Rabies Post-Exposure Prophylaxis in the Philippines: Health Status of Patients Having Received Purified Equine F(ab')2 Fragment Rabies Immunoglobulin (Favirab)
2008

Rabies Treatment Outcomes in the Philippines

Sample size: 7660 publication 10 minutes Evidence: high

Author Information

Author(s): Quiambao Beatriz P., DyTioco Hazel Z., Dizon Ruby M., Crisostomo Marilyn E., Laot Thelma M., Teuwen Dirk E.

Primary Institution: Research Institute for Tropical Medicine, Alabang, Manila, Philippines

Hypothesis

What are the health outcomes of patients receiving purified equine rabies immunoglobulin after rabies exposure?

Conclusion

The study shows that the treatment regimen using purified equine rabies immunoglobulin is well tolerated and effective, with most patients remaining healthy after rabies exposure.

Supporting Evidence

  • Of 151 patients with laboratory-confirmed rabies exposure, 143 were in good health 6–48 months later.
  • Only 16 deaths were reported, with 14 unrelated to rabies exposure or treatment.
  • Two deaths were considered PEP failures due to inadequate treatment.

Takeaway

If you get bitten by a potentially rabid animal, getting the right treatment quickly can help you stay healthy. Most people in the study who got treated did just fine.

Methodology

This was a case series involving 7,660 patients treated with purified equine rabies immunoglobulin, with follow-up data collected through telephone or home visits.

Potential Biases

Potential bias due to incomplete records and reliance on patient self-reporting for follow-up health status.

Limitations

Some patient records were incomplete or illegible, and follow-up data could not be obtained for all patients.

Participant Demographics

Patients ranged from 4 months to 98 years old, with a significant number being children under 15 years.

Digital Object Identifier (DOI)

10.1371/journal.pntd.0000243

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