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© Institut Pasteur
Corne d'Ammon (ou hippocampe) de renard atteint de rage sauvage. Coloration avec un conjugué fluorescent sur la nucléocapside du virus.
Publication : Tropical medicine & international health : TM & IH

Caring for patients with rabies in developing countries – the neglected importance of palliative care

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in Tropical medicine & international health : TM & IH - 17 Feb 2016

Tarantola A, Crabol Y, Mahendra BJ, In S, Barennes H, Bourhy H, Peng Y, Ly S, Buchy P

Link to Pubmed [PMID] – 26806229

Trop. Med. Int. Health 2016 Apr;21(4):564-7

Although limited publications address clinical management of symptomatic patients with rabies in intensive care units, the overwhelming majority of human rabies cases occur in the rural setting of developing countries where healthcare workers are few, lack training and drugs. Based on our experience, we suggest how clinicians in resource-limited settings can make best use of essential drugs to provide assistance to patients with rabies and their families, at no risk to themselves. Comprehensive and compassionate patient management of furious rabies should aim to alleviate thirst, anxiety and epileptic fits using infusions, diazepam or midazolam and antipyretic drugs via intravenous or intrarectal routes. Although the patient is dying, respiratory failure must be avoided especially if the family, after being informed, wish to take the patient home alive for funereal rites to be observed. Healthcare staff should be trained and clinical guidelines should be updated to include palliative care for rabies in endemic countries.

https://www.ncbi.nlm.nih.gov/pubmed/26806229