{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:44:44Z","timestamp":1777934684792,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Oncol Pharm Pract"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Immunocompromised patients undergoing cancer therapy are at increased risk for severe infections such as rabies. Coordinating rabies post-exposure prophylaxis (PEP) with ongoing treatment requires careful planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 73-year-old female with metastatic breast cancer, scheduled to begin second-line chemotherapy, sustained a WHO Category 3 cat scratch injury. A clinical pharmacist collaborated with oncology and infectious disease teams to promptly initiate rabies PEP. Rabies vaccine and monoclonal antibody were administered per national guidelines. The chemotherapy start date was deferred by five days based on pharmacist\u2013infectious disease team consultation to ensure optimal vaccine response. The clinical pharmacist played a central role in timing decisions, vaccine administration, and patient education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case report underscores the complexities of managing infectious disease risks in immunocompromised oncology patients. The timely coordination of rabies post-exposure prophylaxis in a patient undergoing cancer treatment is a clinically relevant issue, especially given the potential for attenuated vaccine responses and treatment delays. The case provides a practical example of how clinical pharmacist-driven (interdisciplinary collaboration) interventions can enhance patient safety without compromising oncologic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10781552251365911","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T07:32:20Z","timestamp":1754638340000},"page":"153-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of the clinical pharmacist in managing rabies post-exposure prophylaxis in an elderly cancer patient: A case report from a tertiary care hospital"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5134-9523","authenticated-orcid":false,"given":"Mohammed","family":"Waheeda Rahman","sequence":"first","affiliation":[{"name":"Apollo Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul","family":"Ghafur","sequence":"additional","affiliation":[{"name":"Apollo Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirumal","family":"Rakkesh","sequence":"additional","affiliation":[{"name":"Apollo Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya","family":"A","sequence":"additional","affiliation":[{"name":"Apollo Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"105","article-title":"Rabies vaccination in a pediatric patient with acute myeloid leukemia during the course of chemotherapy: a case report","volume":"7","author":"Wiwanitkit V","year":"2014","unstructured":"Wiwanitkit V. Rabies vaccination in a pediatric patient with acute myeloid leukemia during the course of chemotherapy: a case report. Iran J Cancer Prev 2014; 7: 105\u2013106. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4142940\/.","journal-title":"Iran J Cancer Prev"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1809.111833"},{"key":"e_1_3_2_4_2","first-page":"516","article-title":"Clinical management and humoral immune responses to rabies post-exposure prophylaxis among three patients who received solid organs from a donor with rabies","volume":"17","author":"Basavaraj C","year":"2015","unstructured":"Basavaraj C, Ravishankar B, Mohan R, et al. Clinical management and humoral immune responses to rabies post-exposure prophylaxis among three patients who received solid organs from a donor with rabies. Transpl Infect Dis 2015; 17: 516\u2013520. https:\/\/pubmed.ncbi.nlm.nih.gov\/25774387.","journal-title":"Transpl Infect Dis"},{"key":"e_1_3_2_5_2","first-page":"104533","article-title":"Immune response to rabies post-exposure prophylaxis in patients with non-HIV secondary immunodeficiencies","volume":"129","author":"Mettler J","year":"2020","unstructured":"Mettler J, Ter Meulen V, Kurrer MO, et al. Immune response to rabies post-exposure prophylaxis in patients with non-HIV secondary immunodeficiencies. J Clin Virol 2020; 129: 104533. https:\/\/pubmed.ncbi.nlm.nih.gov\/32586759.","journal-title":"J Clin Virol"},{"key":"e_1_3_2_6_2","unstructured":"National Centre for Disease Control (NCDC) Rabies Guidelines for Prophylaxis. https:\/\/ncdc.gov.in."}],"container-title":["Journal of Oncology Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552251365911","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10781552251365911","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10781552251365911","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:31:32Z","timestamp":1777689092000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10781552251365911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,8]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1177\/10781552251365911"],"URL":"https:\/\/doi.org\/10.1177\/10781552251365911","relation":{},"ISSN":["1078-1552","1477-092X"],"issn-type":[{"value":"1078-1552","type":"print"},{"value":"1477-092X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,8]]}}}