{"id":"https://openalex.org/W2002248753","doi":"https://doi.org/10.1001/jama.1985.03360010073029","title":"A Recommended Approach to the Evaluation of Human Rabies Exposure in an Acute-Care Hospital","display_name":"A Recommended Approach to the Evaluation of Human Rabies Exposure in an Acute-Care Hospital","publication_year":1985,"publication_date":"1985-07-05","ids":{"openalex":"https://openalex.org/W2002248753","doi":"https://doi.org/10.1001/jama.1985.03360010073029","mag":"2002248753","pmid":"https://pubmed.ncbi.nlm.nih.gov/3999352"},"language":"en","primary_location":{"id":"doi:10.1001/jama.1985.03360010073029","doi":"https://doi.org/10.1001/jama.1985.03360010073029","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.1985.03360010073029","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026274714","display_name":"Patrick Remington","orcid":"https://orcid.org/0000-0003-0360-7097","observed_orcids":["https://orcid.org/0000-0003-0360-7097"]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I1310019138","display_name":"Michigan Department of Health and Human Services","ror":"https://ror.org/03tpyg842","country_code":"US","type":"government","lineage":["https://openalex.org/I1310019138"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Patrick L. Remington","raw_affiliation_strings":["Centers for Disease Control and Prevention","Michigan Department of Community Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centers for Disease Control and Prevention","institution_ids":["https://openalex.org/I1289490764"]},{"raw_affiliation_string":"Michigan Department of Community Health","institution_ids":["https://openalex.org/I1310019138"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5026274714"],"corresponding_institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I1310019138"],"apc_list":null,"apc_paid":null,"fwci":0.4187,"has_fulltext":false,"cited_by_count":25,"citation_normalized_percentile":{"value":0.67474048,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"254","issue":"1","first_page":"67","last_page":"67"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11780","display_name":"Rabies epidemiology and control","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2406","display_name":"Virology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11780","display_name":"Rabies epidemiology and control","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2406","display_name":"Virology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.013199999928474426,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11581","display_name":"Viral Infections and Outbreaks Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rabies","display_name":"rabies","score":0.9150000214576721},{"id":"https://openalex.org/keywords/post-exposure-prophylaxis","display_name":"post-exposure prophylaxis","score":0.9750000238418579},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.6790000200271606},{"id":"https://openalex.org/keywords/occupational-exposure","display_name":"occupational exposure","score":0.8579999804496765},{"id":"https://openalex.org/keywords/transmission-based-precautions","display_name":"isolation precautions","score":0.6909999847412109},{"id":"https://openalex.org/keywords/nosocomial-infections","display_name":"nosocomial infections","score":0.4970000088214874},{"id":"https://openalex.org/keywords/employee-education","display_name":"employee education","score":0.36399999260902405}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9789825081825256},{"id":"https://openalex.org/C2776849203","wikidata":"https://www.wikidata.org/wiki/Q39222","display_name":"Rabies","level":2,"score":0.768332839012146},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.44134122133255005},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.43632858991622925},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3452419340610504},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.32637184858322144},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.1909789741039276},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001826","descriptor_name":"Body Fluids","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006785","descriptor_name":"Hospitals, University","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008824","descriptor_name":"Michigan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009784","descriptor_name":"Occupational Diseases","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D010564","descriptor_name":"Personnel, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011818","descriptor_name":"Rabies","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D011818","descriptor_name":"Rabies","qualifier_ui":"Q000635","qualifier_name":"transmission","is_major_topic":false},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1001/jama.1985.03360010073029","doi":"https://doi.org/10.1001/jama.1985.03360010073029","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.1985.03360010073029","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},{"id":"doi:10.1001/jama.254.1.67","doi":"https://doi.org/10.1001/jama.254.1.67","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.254.1.67","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},{"id":"pmid:3999352","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3999352","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":7,"referenced_works":["https://openalex.org/W42862353","https://openalex.org/W1468409512","https://openalex.org/W2024384039","https://openalex.org/W2028357942","https://openalex.org/W2047739911","https://openalex.org/W2406243571","https://openalex.org/W2419063646"],"related_works":["https://openalex.org/W2092986730","https://openalex.org/W2312153743","https://openalex.org/W1987642646","https://openalex.org/W2989417825","https://openalex.org/W7098217903","https://openalex.org/W7140206202","https://openalex.org/W2031107318","https://openalex.org/W2043841215","https://openalex.org/W2291844667","https://openalex.org/W3141843284"],"abstract_inverted_index":{"It":[0],"is":[1,105],"important":[2],"to":[3,58,123],"minimize":[4],"the":[5,19,27,40,77,89,111,124],"costs":[6],"and":[7,48,121],"risks":[8,112],"associated":[9],"with":[10,88,92],"unnecessary":[11],"prophylaxis":[12,25,55,128,133],"of":[13,21,30,73,79,113,134],"health":[14,135],"care":[15,136],"workers.":[16,137],"We":[17],"studied":[18],"process":[20],"providing":[22],"rabies":[23,104],"postexposure":[24,127],"following":[26],"24-day":[28],"hospitalization":[29],"a":[31],"rabies-infected":[32],"patient.":[33],"Of":[34],"209":[35],"persons":[36,60,93],"who":[37,62,69,94],"cared":[38],"for":[39,52,126],"patient,":[41],"only":[42],"12":[43],"(6%)":[44],"reported":[45],"high-risk":[46,66],"contact,":[47],"treatment":[49,71],"was":[50,56],"recommended":[51],"them.":[53],"Unnecessary":[54],"limited":[57],"35":[59],"(18%)":[61],"did":[63,95],"not":[64,96],"report":[65],"contacts":[67],"but":[68],"requested":[70],"because":[72],"their":[74],"uncertainty":[75],"about":[76,110],"degree":[78],"exposure.":[80],"These":[81],"persons,":[82],"however,":[83],"spent":[84],"significantly":[85],"more":[86],"time":[87],"patient":[90],"compared":[91],"request":[97],"treatment.":[98],"Maintaining":[99],"strict":[100],"isolation":[101],"precautions":[102],"when":[103],"being":[106],"considered,":[107],"educating":[108],"employees":[109],"transmission":[114],"in":[115],"this":[116],"setting,":[117],"carefully":[118],"documenting":[119],"exposures,":[120],"adhering":[122],"guidelines":[125],"may":[129],"help":[130],"reduce":[131],"excessive":[132]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}