Caring for a patient with rabies: implications of the Milwaukee protocol for infection control and public health measures. Issue 4 (August 2017)

• Record Type: Journal Article
• Authors: Lampejo, T.; Bruce, M.; Teall, A.; Dall'Antonia, M.; Crawley-Boevey, E.; Grant, P.; Polhill, S.; Pillay, D.; Brown, D.; Brown, M.; Nastouli, E.
• Is Part Of: Journal of hospital infection. Volume 96:Issue 4(2017)
• Page Start: 385
• Page End: 391
• Publication Date: 2017-08
• Subjects: Rabies -- Milwaukee protocol -- Infection control -- Public health; Cross infection -- Periodicals; Cross infection -- Prevention -- Periodicals; Nosocomial infections -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Cross Infection -- Periodicals; Cross Infection -- prevention & control -- Periodicals; Infection Control -- Periodicals; Electronic journals; 614.44
• DOI: 10.1016/j.jhin.2017.04.018
• Languages: English
• ISSNs: 0195-6701

Abstract

Summary: This article discusses the infection control and public health measures taken whilst managing a case of laboratory-confirmed rabies, and the challenges faced in implementing these measures. Case management requires intensive multi-disciplinary co-ordination. The Milwaukee protocol, which to date has five reported human rabies survivors associated with its use, has been suggested as a potential management pathway for human rabies. Consensus among hospital and public health clinicians would aid future deployment of this approach in selected cases.