Rabies knowledge gaps and risk behaviour in Dutch travellers: An observational cohort study

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Publicado no:Travel Medicine and Infectious Disease vol. 60 (Jul 2024)
Autor principal: Overduin, Lisanne A
Outros Autores: Koopman, Jan Pieter R, Prins, Corine, Verbeek-Menken, Petra H, de Pijper, Cornelis A, Heerink, Fiona, Perry JJ van Genderen, Grobusch, Martin P, Visser, Leo G
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Elsevier Limited
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022 |a 1477-8939 
022 |a 1873-0442 
024 7 |a 10.1016/j.tmaid.2024.102739  |2 doi 
035 |a 3084310799 
045 2 |b d20240701  |b d20240731 
084 |a 170353  |2 nlm 
100 1 |a Overduin, Lisanne A  |u Leiden University Center for Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands 
245 1 |a Rabies knowledge gaps and risk behaviour in Dutch travellers: An observational cohort study 
260 |b Elsevier Limited  |c Jul 2024 
513 |a Journal Article 
520 3 |a BackgroundTravellers visiting rabies-endemic countries are at risk of rabies infection. Assessing travellers’ knowledge and risk perception of rabies and risk behaviour during travel can help identify knowledge gaps and improve pre-travel risk education.MethodsCohort study in Dutch adult travellers, using two surveys: one before travel to assess knowledge and perception of rabies, and one after return to identify risk behaviour during travel.ResultsThe pre-travel and post-travel survey were completed by 301 and 276 participants, respectively. 222 participants had travelled to a high-risk rabies-endemic country. 21.6 % of the participants scored their rabies knowledge as poor. Some participants were unaware cats or bats can transmit rabies (26.6 % and 13.6 %, respectively), or that post-exposure prophylaxis (PEP) is required for certain exposures such as skin abrasions without bleeding or licks on damaged skin (35.5 % and 18.9 %, respectively), while 27.9 % of participants did not know PEP needs to be administered within one day. 115 participants (51.8 %) reported any form of contact with any animal during travel. Two participants reported animal exposure, of which one took adequate PEP measures. Risk factors for animal contact abroad were regularly touching cats or dogs at home or abroad, longer travel duration, having pets during childhood and being an animal lover.ConclusionsPre-travel rabies risk education currently does not meet travellers’ needs, which is reflected in knowledge gaps and engagement in risk behaviour during travel. During pre-travel health advice, avoiding animal contact abroad should be emphasized, and additional education is required about indications for PEP. 
653 |a Infectious diseases 
653 |a Vaccines 
653 |a Risk taking 
653 |a Bats 
653 |a Regression analysis 
653 |a Animals 
653 |a Knowledge 
653 |a Pandemics 
653 |a Clinical trials 
653 |a Rabies 
653 |a Data analysis 
653 |a Travel 
653 |a Risk factors 
653 |a Disease prevention 
653 |a Education 
653 |a Immunization 
653 |a Observational studies 
653 |a Cohort analysis 
653 |a Social 
700 1 |a Koopman, Jan Pieter R  |u Leiden University Center for Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands 
700 1 |a Prins, Corine  |u Leiden University Center for Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands 
700 1 |a Verbeek-Menken, Petra H  |u Leiden University Center for Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands 
700 1 |a de Pijper, Cornelis A  |u Centre for Tropical Medicine and Travel Medicine, Amsterdam University Medical Centers, Location AMC, University of Amsterdam, Amsterdam, the Netherlands 
700 1 |a Heerink, Fiona  |u Leiden University Center for Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands 
700 1 |a Perry JJ van Genderen  |u Corporate Travel Clinic, Erasmus Medical Centre, Rotterdam, the Netherlands 
700 1 |a Grobusch, Martin P  |u Centre for Tropical Medicine and Travel Medicine, Amsterdam University Medical Centers, Location AMC, University of Amsterdam, Amsterdam, the Netherlands 
700 1 |a Visser, Leo G  |u Leiden University Center for Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands 
773 0 |t Travel Medicine and Infectious Disease  |g vol. 60 (Jul 2024) 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3084310799/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
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856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3084310799/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch