L'immunothérapie antirabique passive d'hier et d'aujourd'hui

Autor: Florence Ribadeau-Dumas, Laurent Dacheux, Hervé Bourhy
Přispěvatelé: Centre National de Référence de la Rage-Dynamique des Lyssavirus et adaptation à l'hôte (CNR), Institut Pasteur [Paris], Centre Collaborateur de l'OMS pour la Rage - Dynamique des lyssavirus et adaptation à l'hôte (CC-OMS), Institut Pasteur [Paris] (IP)
Jazyk: francouzština
Rok vydání: 2010
Předmět:
History
Passive
medicine.disease_cause
Active immunization
0302 clinical medicine
MESH: Animals
030212 general & internal medicine
MESH: Developing Countries
0303 health sciences
biology
MESH: Rabies Vaccines
21st Century
3. Good health
MESH: Rabies virus
20th Century
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
MESH: Immunization
Passive

MESH: History
20th Century

Viral disease
Antibody
MESH: History
21st Century

MESH: Immune Tolerance
Rabies
General Biochemistry
Genetics and Molecular Biology

03 medical and health sciences
MESH: Rabies
medicine
Immune Tolerance
Humans
Animals
Horses
Adverse effect
MESH: Horses
Developing Countries
030304 developmental biology
19th Century
MESH: Humans
business.industry
Rabies virus
medicine.disease
Regimen
Immunization
Rabies Vaccines
Immunology
biology.protein
MESH: History
19th Century

Horse Diseases
business
MESH: Horse Diseases
Zdroj: Biologie Aujourd'hui
Biologie Aujourd'hui, EDP sciences, 2010, 204 (1), pp.71-80. ⟨10.1051/jbio/2009049⟩
Biologie Aujourd'hui, 2010, 204 (1), pp.71-80. ⟨10.1051/jbio/2009049⟩
ISSN: 2105-0678
2105-0686
DOI: 10.1051/jbio/2009049⟩
Popis: International audience; Rabies is a fatal disease transmitted by infected animals by bite, scratch, licking on broken skin or contamination of mucosis by saliva. The regimen of post-exposure prophylaxis for people not previously vaccinated, that is currently recommended by WHO, consists of a combination of wound cleaning, active immunization and passive immunization when the exposure is of category 3. Most of the products available on the market, in particular human rabies immunoglobulins, highly purified equine rabies immunoglobulins and the derived F(ab')(2) fragments, are now characterized by high potency and safety. Although the interest of passive anti-rabies immunization was first demonstrated in the first half of the 20th century, there is still an inadequate supply of these products to the target populations mostly in developing countries. Therefore, it is urgent to set-up training and information actions for healthcare personnel on the need to use passive immunotherapy and the lack of adverse effects of the related products. For the future, we hope that a scale up of production and a lower price will improve the accessibility to these products. The development of new products based on monoclonal antibodies and molecular biology, and which may be cheaper, is promising.
Databáze: OpenAIRE