Caring for a patient with rabies: implications of the Milwaukee protocol for infection control and public health measures.

Lampejo, T; Bruce, M; Teall, A; Dall'Antonia, M; Crawley-Boevey, E; Grant, P; Polhill, S; Pillay, D; Brown, D; Brown, M; +1 more... Nastouli, E; (2017) Caring for a patient with rabies: implications of the Milwaukee protocol for infection control and public health measures. The Journal of hospital infection. ISSN 0195-6701 DOI: https://doi.org/10.1016/j.jhin.2017.04.018

Abstract

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.