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Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Public+Health+Action 2013 ; 3 (1): 85-9 Nephropedia Template TP
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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 PMID26393003show 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.