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A survey investigating the current practice of French health professionals regarding infection risk after monkey bites.
Zoonoses and Public Health ( IF 2.4 ) Pub Date : 2019-12-12 , DOI: 10.1111/zph.12665
Pauline Gauthier 1 , Anne-Pauline Bellanger 2 , Fabienne Bozon 3 , Quentin Lepiller 4, 5 , Catherine Chirouze 3 , Philippe Marguet 1
Affiliation  

International tourism is steadily increasing, with 15% of travellers reporting health problems when they come back. Animal bites represent 2% of consulting causes, of which 20% are due to monkey bites. The Monkey B virus (Macacine alphaherpesvirus 1) is an alphaherpesvirus (Herpesviridae, genus Simplexvirus) enzootic in macaques (Genus Macaca). Zoonotic infections with the Monkey B virus following exposure to macaques are exceptionally rare, but can cause fatal encephalomyelitis in humans. An observational survey was undertaken in 2018 to assess the practice of French health professionals regarding infection risk after monkey bites. French health professionals practicing in vaccination and rabies centres were specifically targeted for this study. Standardized questionnaires were sent by email to a sample of French health professionals. They were asked to participate on a voluntary and anonymous basis. The questionnaires requested epidemiological details and included multiple‐choice questions about the infection management of monkey bites. The response rate was 33.5%. The frequency of monkey bites in 2017 was variable with a minority of centres managing more than 6 per year (12%), 46% managing 1–5 monkey bites and 42% none. Most of the monkey bites were described as occurring in South Asia at tourist sites, on naked upper limbs, shortly after the travellers arrived at their destination. Tetanus status verification, rabies post‐exposure prophylaxis and antibiotic therapy were said to be prescribed in most cases. Knowledge about the Monkey B virus was reported as scarce for 38% of the participants. The number of monkey bites managed per year per centre varied greatly but practices regarding infectious risk after monkey bites were generally homogeneous. The risk of Monkey B virus transmission did not readily come to mind in the differential diagnosis of infection risk for many French health professionals.

中文翻译:

一项调查法国卫生专业人员当前有关猴子咬伤后感染风险的做法的调查。

国际旅游业稳步增长,有15%的旅行者回来后报告健康问题。动物咬伤占咨询原因的2%,其中20%是由于猴子咬伤。猴病毒B(Macacineα疱疹病毒1)是α疱疹病毒(疱疹病毒科,属Simplexvirus)地方性在猕猴(属猕猴)。猕猴暴露于猕猴后感染人猴B病毒的情况极少见,但可导致人类致命的脑脊髓炎。2018年进行了一项观察性调查,以评估法国卫生专业人员在猴咬伤后感染风险方面的作法。在疫苗接种和狂犬病中心执业的法国卫生专业人员是本研究的具体对象。通过电子邮件将标准化的调查表发送给法国卫生专业人员的样本。他们被要求自愿和匿名参加。问卷要求流行病学详细信息,并包括有关猴咬感染管理的多项选择问题。回应率为33.5%。2017年猴子被咬的频率各不相同,少数中心每年管理超过6个中心(12%),46%的人会处理1-5个猴子叮咬,而42%的人则不会。旅行者抵达目的地后不久,大多数猴子被描述为发生在南亚裸露上肢的旅游景点。在大多数情况下,据说需要处方破伤风身份验证,狂犬病预防和抗生素治疗。据报道,对猴子B病毒的了解不足,有38%的参与者。每个中心每年管理的猴子叮咬次数差异很大,但是有关猴子叮咬后传染风险的做法通常是一致的。在许多法国卫生专业人员的感染风险的鉴别诊断中,猴子B病毒传播的风险并不容易想到。旅客到达目的地后不久,赤裸裸地举起上肢。在大多数情况下,据说需要处方破伤风身份验证,狂犬病预防和抗生素治疗。据报道,对猴子B病毒的了解不足,有38%的参与者。每个中心每年管理的猴子叮咬次数差异很大,但是有关猴子叮咬后传染风险的做法通常是一致的。在许多法国卫生专业人员的感染风险的鉴别诊断中,猴子B病毒传播的风险并不容易想到。旅客到达目的地后不久,赤裸裸地举起上肢。在大多数情况下,据说需要处方破伤风身份验证,狂犬病预防和抗生素治疗。据报道,对猴子B病毒的了解不足,有38%的参与者。每个中心每年管理的猴子叮咬次数差异很大,但是有关猴子叮咬后传染风险的做法通常是一致的。在许多法国卫生专业人员的感染风险的鉴别诊断中,猴子B病毒传播的风险并不容易想到。据报道,对猴子B病毒的了解不足,有38%的参与者。每个中心每年管理的猴子叮咬次数差异很大,但是有关猴子叮咬后传染风险的做法通常是一致的。在许多法国卫生专业人员的感染风险的鉴别诊断中,猴子B病毒传播的风险并不容易想到。据报道,对猴子B病毒的了解不足,有38%的参与者。每个中心每年管理的猴子叮咬次数差异很大,但是有关猴子叮咬后传染风险的做法通常是一致的。在许多法国卫生专业人员的感染风险的鉴别诊断中,猴子B病毒传播的风险并不容易想到。
更新日期:2019-12-12
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