{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:41:34Z","timestamp":1786470094369,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Rabies is a universally fatal yet preventable disease when post\u2010exposure prophylaxis (PEP) is administered promptly and appropriately. To describe exposure characteristics, risk categorization and real\u2010world PEP practices among children in an endemic urban setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective study of children (&lt;\u200918\u2009years) presenting with rabies\u2010risk contact between January 2013 and October 2023. Data were extracted from the provincial (\u0130zmir) rabies surveillance system and included demographics, exposure type, time to presentation, animal species, risk category, wound care, rabies vaccination, rabies immunoglobulin (RIG) and tetanus prophylaxis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 3732 children were included (median age 9\u2009years, IQR 5\u201313), with 63.3% being male. Most exposures involved dogs (49.8%) and cats (44.8%) and occurred in \u0130zmir. Same\u2010day presentation occurred in 48.8% of cases, while 0.9% presented after more than 30\u2009days. Risk categorization was documented in only 33.6% of patients, most commonly Category II (61.5%) and Category III (30.5%). RIG was administered to 2.6% of patients and more frequently after wild animal exposures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Substantial gaps in risk documentation and variability in pediatric rabies PEP practices were observed, highlighting the need for standardized risk assessment and improved clinical guidance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70589","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:04:57Z","timestamp":1778691897000},"page":"1947-1952","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Post\u2010Exposure Rabies Prophylaxis in Children: Real\u2010World Practices From an 11\u2010Year Retrospective Study in T\u00fcrkiye"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8671-3604","authenticated-orcid":false,"given":"Ahu","family":"Kara\u2010Aksay","sequence":"first","affiliation":[{"name":"Department of Pediatric Infectious Diseases Health Sciences University, \u0130zmir Tepecik Training and Research Hospital  \u0130zmir T\u00fcrkiye"},{"name":"Department of Pediatric Infectious Diseases Health Sciences University, Izmir Faculty of Medicine  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9095-5932","authenticated-orcid":false,"given":"Gizem Avc\u0131","family":"Demirciler","sequence":"additional","affiliation":[{"name":"Department of Pediatric Infectious Diseases Health Sciences University, \u0130zmir Tepecik Training and Research Hospital  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9211-217X","authenticated-orcid":false,"given":"Nilay","family":"Lemay","sequence":"additional","affiliation":[{"name":"Department of Pediatrics \u0130zmir City Hospital  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7467-1825","authenticated-orcid":false,"given":"Nesli A\u011fral\u0131","family":"Er\u00f6z","sequence":"additional","affiliation":[{"name":"Department of Pediatric Infectious Diseases Health Sciences University, \u0130zmir Tepecik Training and Research Hospital  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2822-612X","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"Elvan\u2010T\u00fcz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Infectious Diseases \u0130zmir City Hospital  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7053-8549","authenticated-orcid":false,"given":"Asl\u0131han Arslan","family":"Maden","sequence":"additional","affiliation":[{"name":"Department of Pediatric Infectious Diseases \u0130zmir City Hospital  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0727-9572","authenticated-orcid":false,"given":"Selin Ta\u015far","family":"Karabulut","sequence":"additional","affiliation":[{"name":"Department of Pediatric Infectious Diseases \u0130zmir City Hospital  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1065-9066","authenticated-orcid":false,"given":"Dilek","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Infectious Diseases \u0130zmir City Hospital  \u0130zmir T\u00fcrkiye"},{"name":"Department of Pediatric Infectious Diseases Izmir Katip Celebi University Faculty of Medicine  \u0130zmir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003709"},{"key":"e_1_2_13_3_1","volume-title":"WHO Expert Consultation on Rabies: Third Report","author":"World Health Organization","year":"2018"},{"issue":"16","key":"e_1_2_13_4_1","first-page":"201","article-title":"Rabies Vaccines: WHO Position Paper\u2014April 2018","volume":"93","author":"World Health Organization","year":"2018","journal-title":"Weekly Epidemiological 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