Preventing human rabies before and after exposure.

Rabies is a viral disease that can be transmitted from animals to humans. Recently, most human deaths from rabies have been caused by transmission from bats, in many cases without a documented bite or exposure. Rabies is fatal if untreated prior to onset of symptoms. Deaths from human rabies in the United States are rare, largely because of animal control measures and postexposure prophylaxis of people who have been bitten or exposed to the virus. Primary care providers play a pivotal role in the prevention of rabies. Preexposure prevention involves education and immunization of persons at high risk for rabies exposure. Rabies is difficult to diagnose antemortem because of the nonspecific presentation of signs and symptoms that may mimic those of respiratory or abdominal infections. Diagnosing rabies once symptoms begin will not save the victim's life but will help to minimize exposure to others, allow for identification and prophylaxis of those who may have been exposed, and identify the animal vector.

Travel health: safety and preparation strategies for clinicians.

Travel health has become a popular and widely accepted component of the medical community. With the increase in medical travel, NPs must be aware of the guidelines pertaining to health issues and diseases that arise in underdeveloped countries.

[Nurses' work processes in outbreak of human rabies in Pará, Brasil]. / Processos de trabalho do enfermeiro durante surtos de raiva humana no Estado do Pará, Brasil.

This article aimed at analyzing the work processes of nurses during the epidemic events of human rabies in the State of Para, Brazil in the biennium 2004 and 2005, thus placing the nurse in this space that has a lethal epidemic. The study is a qualitative study which data collection was carried out by individual semi-structured interviews with six nurses who worked during those epidemic events. The linkage and integration of work processes to assist, manage and teach were found in the narratives of the nurses.

Processos de trabalho do enfermeiro durante surtos de raiva humana no Estado do Pará, Brasil / Nurses' work processes in outbreak of human rabies in Pará, Brasil / Procesos de trabajo del enfermero en el brote de rabia humana en Pará, Brasil

O presente artigo visou analisar os processos de trabalho de enfermeiros durante eventos epidêmicos de raiva humana no Estado do do Pará no biênio 2004 e 2005, situando assim, o enfermeiro neste espaço que sofreu uma epidemia letal. O estudo é do tipo descritivo-analítico com abordagem qualitativa e coleta de narrativa individual semi-estruturada dirigida a seis enfermeiros que trabalharam durante estes eventos epidêmicos de raiva humana. A articulação e a integração dos processos de trabalho assistir, administrar e ensinar foram encontradas nas narrativas dos enfermeiros entrevistados.

This article aimed at analyzing the work processes of nurses during the epidemic events of human rabies in the State of Para, Brazil in the biennium 2004 and 2005, thus placing the nur se in this space that has a lethal epidemic. The study is a qualitative study which data collection was carried out by individual semi-structured interviews with six nurses who worked during those epidemic events. The linkage and integration of work processes to assist, manage and teach were found in the narratives of the nurses.

Este artículo tuvo como objetivo analizar los procesos de trabajo de las enfermeras en los fenómenos de la epidemia de rabia humana en el estado brasileño de Pará, en el bienio 2004 y 2005, colocando a la enfermera en este espacio que tiene una epidemia letal. El estudio es cualitativo cya recogida de datos hay sido por medio de entrevistas semi-estructuradas con seis enfermeras que trabajaban en estos eventos de la epidemia de rabia humana. La vinculación y la integración de los procesos de trabajo para ayudar, gestionar, y enseñar se encuentra en los relatos de las enfermeras.

Rabies: the disease and the value of intensive care treatment.

Rabies remains an incurable disease which is endemic in many parts of the world, particularly the Indian sub-continent. Strict muzzling orders in the latter part of the 19th century and today's modern quarantine laws have ensured the disease has remained eradicated from Britain. Isolated imported cases of human rabies do still occur and present a variety of problems for both nursing and medical staff. This article looks at the clinical features of the disease, the success in developing a potent yet safe vaccine and questions the value and justification in using an intensive care environment for rabid patients who are essentially suffering from a terminal illness.