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2013 ; 3
(1
): 85-9
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Haematophagous bat bites in Ecuadorian Amazon: characterisation and implications
for sylvatic rabies prevention
#MMPMID26393003
Romero-Sandoval N
; Parra C
; Gallegos G
; Guanopatín A
; Campaña MF
; Haro M
; Calapaqui S
; Moreta C
; Viteri F
; Feijoo-Cid M
; Martin M
Public Health Action
2013[Mar]; 3
(1
): 85-9
PMID26393003
show ga
OBJECTIVE: To characterise the risk factors of haematophagous bat bites and to
provide information to contribute to the prevention of rabies in Ecuador. DESIGN:
Cross-sectional study based on interviews with 3518 individuals, from which two
sets of variables were generated: characteristics of haematophagous bat attacks
in the previous year among humans and risk factors for being bitten. METHODS:
Data were analysed using multivariate logistic regression models, taking history
of bat bites in the previous year as the response variable. RESULTS: In the
previous year 723 (20.6%, 95%CI 19.3-21.9) of the participants declared having
received haematophagous bat bites and 50.4% in the previous month, giving an
incidence rate of 10.4% (95%CI 9.6-11.6) per month. Sleeping on the floor or in a
hammock (adjusted odds ratio [aOR] 1.58, 95%CI 1.21-2.06), not using a protective
bed net (aOR 1.25, 95%CI 1.03-1.50) and living in a dwelling with permanent
openings in the structure (aOR 1.49, 95%CI 1.12-1.95) were associated with a
higher probability of bat bites. Those most affected were the group aged ?12
years (age 13-19 years, aOR 0.39, 95%CI 0.32-0.48; age ?20 years, aOR 0.67, 95%CI
0.50-0.90). CONCLUSION: Primary prevention based on pre-exposure vaccination
would be justifiable given the high dispersion of the population and the high
incidence of bat bites. As a secondary protective measure, communities should
work towards increasing the use of protective measures and putting barriers in
permanent openings in their dwellings.