Baker Sarah E, Ross Yasmeen B, Ellison James A, Monroe Benjamin P, Orciari Lillian A, Petersen Brett W, Rao Agam K, Wallace Ryan M
Poxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Oak Ridge Institute for Science and Education, Centers for Disease Control and Prevention Participation Program, Atlanta, Georgia, USA.
Public Health Chall. 2023 Aug 1;2(3). doi: 10.1002/puh2.109.
Rabies expert on demand (REOD) telehealth service is provided by the U.S. Centers for Disease Control and Prevention (CDC) to assist public health practitioners, health providers, and the public to interpret national and international rabies prevention guidelines. REOD is staffed by subject matter experts of the CDC Poxvirus and Rabies Branch to assess each unique situation and provide evidence-based guidance to stakeholders. This study aims to describe the utilization of a rabies telehealth system and provide insight into common consultations.
A cross-sectional study of the nature of inquiries to REOD was done using the data collected from September 1, 2017 to September 30, 2021. An inquiry tracking form and Microsoft Access database were developed to document all inquiries received. Inquired ones were summarized to determine the frequency of inquiries by month, category, and location.
Over a 49-month period, REOD received 5228 inquiries. Peak inquiries ( = 108) occurred during August 2019. The most frequent inquiries received pertained to risk assessment and management of rabies exposures ( = 1109), requests for testing assistance ( = 912), consultation for suspected human rabies ( = 746), rabies exposures and post-bite treatment occurring internationally ( = 310), and consultation for deviations in the recommended pre- and postexposure prophylaxis regimen ( = 300).
REOD is a global resource for consultation related to managing rabies exposures, diagnostic issues, and rabies control strategies. REOD is a regularly utilized CDC service, as the demand for up-to-date rabies guidance remains high. REOD fulfills a critical role for the interpretation and consultation on rabies prevention guidelines to stakeholder.
美国疾病控制与预防中心（CDC）提供狂犬病按需专家（REOD）远程医疗服务，以协助公共卫生从业者、医疗服务提供者及公众解读国家和国际狂犬病预防指南。REOD由CDC痘病毒与狂犬病分支的主题专家组成，负责评估每个独特情况，并为利益相关者提供基于证据的指导。本研究旨在描述狂犬病远程医疗系统的使用情况，并深入了解常见咨询内容。
利用2017年9月1日至2021年9月30日收集的数据，对REOD咨询性质进行横断面研究。开发了一份咨询跟踪表和Microsoft Access数据库，以记录收到的所有咨询。对咨询内容进行汇总，以确定按月份、类别和地点划分的咨询频率。
在49个月的时间里，REOD共收到5228次咨询。2019年8月咨询量达到峰值（=108次）。收到的最常见咨询涉及狂犬病暴露的风险评估与管理（=1109次）、检测援助请求（=912次）、疑似人类狂犬病咨询（=746次）、国际上发生的狂犬病暴露及咬伤后治疗（=310次），以及推荐的暴露前和暴露后预防方案偏差咨询（=300次）。
REOD是一个全球资源，可用于咨询狂犬病暴露管理、诊断问题及狂犬病控制策略。REOD是CDC一项经常被使用的服务，因为对最新狂犬病指导的需求仍然很高。REOD在为利益相关者解读和咨询狂犬病预防指南方面发挥着关键作用。
