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                <title level="j">Vaccines</title>
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                <term xml:lang="en">booster immunization</term>
                <term xml:lang="en">humoral immunity</term>
                <term xml:lang="en">pre-exposure prophylaxis</term>
                <term xml:lang="en">rabies</term>
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              <p>Pre-exposure rabies prophylaxis (PrEP) is recommended for people at frequent or increased risk of professional exposure to lyssavirus (including rabies virus). PrEP provides protection against unrecognized exposure. After the primary vaccination, one's immune response against rabies may decline over time. We aimed to evaluate the immune response to rabies in individuals immunized for occupational reasons before and after a booster dose of the rabies vaccine. With this aim, we retrospectively documented factors associated with an inadequate response in individuals vaccinated for occupational purposes. Our findings analyzed data from 498 vaccinated individuals and found that 17.2% of participants had an inadequate antibody titration documented after their primary vaccination without the booster, while inadequate response after an additional booster of the vaccine was evidenced in 0.5% of tested participants. This study showed that a single booster dose of vaccine after PrEP conferred a high and long-term immune response in nearly all individuals except for rare, low responders. A systematic rabies booster after primary vaccination may result in alleviating the monitoring strategy of post-PrEP antibody titers among exposed professionals.</p>
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              <org type="consortium">The authors thank Santé Publique France, the French Directorate General for Health and Institut Pasteur for their financial support. The authors also gratefully acknowledge the Institut Pasteur’s Center for Translational Science Clinical Core for his support.</org>
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