scholarly journals One-year descriptive analysis of patients treated at an anti-rabies clinic – a retrospective study from Kashmir

2019 ◽  
Author(s):  
Khalid Bashir ◽  
Inaamul Haq ◽  
S Muhammad Salim Khan ◽  
Mariya Amin Qurieshi
Keyword(s):  
Tertiary Care ◽  
Public Health Problem ◽  
Neck Region ◽  
Lower Limbs ◽  
Care Hospital ◽  
Dog Bite ◽  
Young Males ◽  
Dog Bites ◽  
Animal Bites ◽  
One Year

Abstract Background Dog bites in humans are a major public health problem in India in general and Kashmir in particular. Canine rabies is almost non-existent in developed countries and exists mainly in the poorer, low socioeconomic strata of society in the developing world. The objective of this study was to determine the characteristics, pattern, and burden of dog bite injuries in the Kashmir valley. Methodology and principal findings Data from Anti-Rabies Clinic of a tertiary care hospital in Srinagar, the summer capital of the state of Jammu & Kashmir, was collated and analyzed. Analysis of records of all the patients who had reported between April 2016 and March 2017 was done. A total of 6172 patients had reported to the Anti-Rabies Clinic for management of animal bites from 1st April 2016 to 31st March 2017. Most of the patients were young males. Almost half (47.7%) of the patients were bitten in the afternoon. Lower limbs were the most common site of bite (71.7%). Most of the bites were of Category III (57.6%) followed by Category II (42.3%); only one case of Category I was recorded. Almost all (98.0%) cases reported being bitten by dogs. Conclusions Category III dog bites on lower limbs are the most common type of animal bites. Children have more chances of a bite on head and neck region. Serious and workable efforts have to be made to reduce the incidence and consequences of animal bites. Author summary In Kashmir, dog bite is an important public health problem. Thousands of people become victims of an animal bite, especially dog bite, and some of them develop rabies. Rabies is an invariably fatal viral disease resulting in approximately 59 000 human deaths per year globally, with 95% of cases occurring in Africa and Asia. The only way to prevent a rabies death is vaccination of an animal bite victim. In Kashmir, the burden and characteristics of dog bites are not routinely captured by the health system in place. We, therefore, attempted to find out the burden and characteristics of animal bite victims by analyzing one-year data from an Anti-Rabies Clinic at a tertiary care hospital in Kashmir. We found that 98% of the patients registered at the clinic during the period were victims of a dog bite. The victims were mostly young males but females and children were not shown any mercy either. Lower limbs were the most favorite site of the bite. Our analysis of the data also revealed that children under 15 years were more prone to a bite in the head and neck region. We concluded that the burden of animal bites, especially dog bites, is huge in Kashmir and recommended that serious efforts directed towards immunizing and decreasing the stray dog population need to be put into practice to decrease the number of animal bite victims and prevent any rabies deaths.

scholarly journals Epidemiological profile of animal bite patients attending emergency department at a tertiary care health facility in a northern hilly Indian city

2019 ◽  
Vol 6 (7) ◽  
pp. 3014 ◽  
Author(s):  
Sanjay Kumar ◽  
Anmol Gupta ◽  
Amit Sachdeva ◽  
Ankit Chaudhary ◽  
Shaina Chamotra
Keyword(s):  
Health Facility ◽  
Tertiary Care ◽  
Case Fatality ◽  
Secondary Data ◽  
Neck Region ◽  
Lower Limbs ◽  
Post Exposure Prophylaxis ◽  
Animal Bites ◽  
Epidemiological Profile ◽  
Epidemiological Characteristics

Background: Rabies is a highly infectious zoonotic disease with a high case fatality rate. In India, approximately 20,000 deaths among 17.4 million exposed people occur every year. The data on animal bites is scarce and unreliable due to poor surveillance and hence, the projected figures are far less from the actual numbers. The present study was conducted to describe epidemiological characteristics of animal bite patients attending casualty department at a tertiary care Government health facility in Shimla, Himachal Pradesh.Methods: It was a retrospective study based on secondary data received from animal bite register for year 2017 at casualty department of the Indira Gandhi Medical College and Hospital, Shimla, Data of 1512 patients attending the casualty department with history of animal bite was included for the study purpose.Results: About 58% of victims were males and the maximum (22.6%) animal bites were seen in 21-30 years age group. Majority (51.6%) of patients were exposed to dog bites, followed by monkey bites (42.85%) and cat bite 49 (3.2%). About 69.9% of animal bites were in the lower limbs, followed by upper limbs (22.1%), abdomen (4.4%) and head and neck region (3.6%). Maximum bites were category III bites (74.6%) followed by of category II bites (12.9%).Conclusions: Study highlights the neglected but significant picture of animal bite in the Shimla city. Timely and correct post exposure prophylaxis for the animal bite victims is necessary to prevent rabies. This should be supplemented with a robust surveillance and reporting system. With the global aim of zero rabies deaths by 2030; it is time to strengthen the anti-rabies activities at every level.

scholarly journals Clinico-epidemiological study of leprosy from a North Indian tertiary care hospital

2018 ◽  
Vol 4 (4) ◽  
pp. 518
Author(s):  
Mohammad Adil ◽  
Syed Suhail Amin ◽  
Mohd Mohtashim ◽  
Sabha Mushtaq ◽  
Mehtab Alam ◽  
...  
Keyword(s):  
Urban Areas ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Lepromatous Leprosy ◽  
Care Hospital ◽  
Female Ratio ◽  
Male Female Ratio ◽  
One Year ◽  
Epidemiological Characteristics

<p class="abstract"><strong>Background:</strong> Leprosy was eliminated as a public health problem in India in 2005. Yet, more than 60% of all new cases of leprosy are reported from India.</p><p class="abstract"><strong>Methods:</strong> A retrospective analysis of the records of patients attending the leprosy clinic of the Dermatology Out Patient Department was done for a period of one year from May 2017 to April 2018. The data was analysed for clinical and epidemiological characteristics of the patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 225 patients visited the leprosy clinic during the study period. Almost half of all patients (47.1%) were aged between 21-40 years. Among the patients were 32 children (14.2%) below 16 years. There were 60 patients (26.6%) suffering from paucibacillary disease and 158 patients (70.2%) had multibacillary disease. Seven patients (3.2%) presented with other forms of leprosy like historic leprosy and pure neuritic leprosy. Borderline lepromatous leprosy was found to be the commonest subtype seen in 86 patients (38.2%). There were 152 males (67.6%) and 73 females (32.4%). The male female ratio was 2.08:1. A total of 118 patients (52.4%) were from rural background and 107 (47.6%) hailed from urban areas. Multibacillary disease was seen in 83.6% of the total females compared to 63.8% of males.</p><p class="abstract"><strong>Conclusions:</strong> Leprosy may be down but is not yet out. The high proportion of children diagnosed with leprosy is a warning regarding the active transmission of the disease in the community. Continued efforts are required to prevent the disease from making a resurgence.</p>

scholarly journals Profile of Animal Bite Cases in a Tertiary Care Hospital in Mysuru

2021 ◽  
Vol 07 (01) ◽  
pp. 25-29
Author(s):  
Mansoor Ahmed ◽  
Keyword(s):  
Tertiary Care ◽  
Health Sector ◽  
Secondary Data ◽  
Tertiary Hospital ◽  
Care Hospital ◽  
Care Seeking ◽  
Cross Sectional ◽  
Dog Bites ◽  
Snake Bites ◽  
Animal Bites

Animal bites cause a big burden worldwide in terms of morbidity and mortality. As per WHO, dog bites are the cause of major animal bite injuries followed by snake bites, cat bites, and monkey bites. Annually about 55,000–60,000 persons die of rabies, of which nearly one-third are from India alone. Rabies, though being a 100% fatal disease, is also a potentially preventable disease. Objective: To estimate the proportion of animal bites in patients attending anti-rabies clinic of a tertiary hospital, Mysuru. Material & Methods: A cross-sectional study was carried out during the period of June 2018 - May 2019. Secondary data was collected from the registers available at the anti-rabies clinic in KR Hospital, Mysuru, using a pretested proforma. This information was compiled in an excel sheet and analysed using simple measures like proportions, percentages, and graphs. Results: A total of 3861 animal bite cases were reported, out of which, 69.1% were males and 30.9% were females. Dog bites contributed the highest (92.1%) followed by cat bites (5.2%). As per the category of wounds, 59.6% were Category 2 and 36.2% were Category 3 wounds. Conclusion: Dog bite is the commonest animal bite which needs to be addressed as a priority with appropriate preventive strategies. There is a pressing need to create awareness among the general population about the need for timely health care seeking behaviour and to avail the benefit of free anti-rabies vaccination in the public health sector in order to prevent the risk of fatal events.

scholarly journals Patterns and Outcomes of dog bite injuries presenting to emergency department in a tertiary care hospital at Karachi

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Muhammad Ikram Ali ◽  
Seemin Jamali ◽  
Tehreem Ashraf ◽  
Nasibullah Ahmed
Keyword(s):  
Emergency Department ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Lower Limbs ◽  
Care Hospital ◽  
Dog Bite ◽  
Cross Sectional ◽  
Adult Age ◽  
Bite Injuries

Objectives: To assess patterns & outcomes of dog bite injuries coming to a public sector tertiary care hospital in Karachi, Pakistan. Methods: This was a one-year descriptive cross sectional study from 1st June 2018- 31st May 2019 using consecutive sampling technique. Data of 7512 patients was collected from animal-bite clinic of a tertiary care hospital. Inclusion criteria was animal bite cases that were reported during the dates 1st June 2018 to 31st May 2019, Incomplete records were excluded. Data comprising of time of bite, the location of the victim at the time of bite within the city, animal responsible for the bite, gender and age of victim, date of presentation, site and category of bite (as per WHO criteria) was recorded by the primary investigator. The study was conducted at Jinnah Post-Graduate Medical Centre. Results: Among 7512 participants 85.8% were males, 32.2% victims reported time of bite between morning and noon, 78.8% of bites involved lower limbs. 51.6% of the bites belonged to category 2. Stray dog bites were observed in 90.3% of cases. Outcome showed 54.9% completed their vaccination, while 44.3% did not show for complete follow up, 3.99% bites were grievous & 0.03% reported with developed rabies. Conclusion: Research reveals Males belonging to adult age group were most vulnerable, most bites were inflicted in early hours, most common animal inflicting the bites were stray dogs. Many victims did not complete their vaccination from the same centre. Peak of the summer was associated with a decline in number of incidents. doi: https://doi.org/10.12669/pjms.37.3.3464 How to cite this:Ali MI, Jamali S, Ashraf T, Ahmed N. Patterns and Outcomes of dog bite injuries presenting to emergency department in a tertiary care hospital at Karachi. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3464 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

A STUDY ON CLINICAL PROFILE AND OUTCOME OF SNAKE ENVENOMATION IN CHILDREN AT TERTIARY CARE HOSPITAL JHALAWAR, RAJASTHAN

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Abhishek Bansal ◽  
Kalu Ram Meena
Keyword(s):  
Tertiary Care ◽  
Clinical Signs ◽  
Public Health Problem ◽  
Pediatric Intensive Care ◽  
Signs And Symptoms ◽  
Snake Bite ◽  
Lower Limbs ◽  
Common Symptom ◽  
Care Hospital ◽  
Female Ratio

Background: Snake bite is generally considered to be a rural problem and has been linked with environmental and occupational condition is a neglected public health problem. Method: This study was conducted in children admitted with snake bite in Pediatric Intensive Care Unit in the year 2019. Their demographic details, site of bite, arrival time, 20Minutes Whole Blood Clotting time, clinical signs and symptoms, complications and outcome were measured. Results: The male: female ratio was 1.33:1. Peak age group affected was 6 to 12 years old children. Lower limbs were commonly bitten. 88.1% of children arrived in the hospital between 0 and 6 hours after the bite. Pain and swelling at the site of bite were the most common symptom of envenomation. There were only two deaths during the study period. Conclusion: Snake bite is a life threatening emergency. Identification, timely diagnosis and early administration of anti-snake venom will certainly aid to curb mortality in snake bite.

scholarly journals Study of Poisoning Cases in a Tertiary Care Hospital

2014 ◽  
Vol 10 (4) ◽  
pp. 70-73
Author(s):  
RK Karki ◽  
A Risal
Keyword(s):  
Public Awareness ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Duration Of Treatment ◽  
Incidence And Mortality ◽  
Study Results ◽  
One Year ◽  
The One

Background Poisoning is one of the leading causes of morbidity and mortality in Nepal and also a major public health problem worldwide. A thorough review of the risk factors helps to decrease the incidence and mortality. The study evaluates the cases admitted in Dhulikhel Hospital, Kavre, Various parameters like age, sex, marital status, time of ingestion, month of occurrence, agent responsible for incidence; type of poisoning, psychosocial problem, outcome and duration of treatment are analyzed. Objectives The objectives of this study are to determine the pattern and severity of poisoning cases admitted to Dhulikhel Hospital. Methods A hospital based study was carried out in the patient admitted to Dhulikhel Hospital with the history of poisoning for the period of one year between April 2011 to March 2012. Various parameters were analyzed and compared with other study. Results There were 137 cases during the one year duration and maximum case belonged to second and third decade of life. Most common manner of poisoning was suicidal and the incidence was mainly during evening hours. Organophosphorus was the most commonly abused substance. Most of the cases had arrived hospital after one hour of exposure and duration of hospital stay in many cases were less than four days. Conclusion Based on these findings preventive measures like precaution taken at various levels, restriction in free sale of the poisons and promoting Poison Information Centers along with public awareness and proper psychosocial management to decrease the incidence and mortality in poisoning cases can be suggested. DOI: http://dx.doi.org/10.3126/kumj.v10i4.10999 Kathmandu Univ Med J 2012;10(4):70-73

scholarly journals Profile of dog bite cases reporting to ARV OPD of a tertiary care hospital

2019 ◽  
Vol 6 (9) ◽  
pp. 4088
Author(s):  
Saurabha Urmi Subramanya ◽  
Ravindra S. Kembhavi
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Age Group ◽  
Dog Bite ◽  
Cross Sectional

Background: Animal bites pose a major public health problem in children and adults worldwide. Rabies is a viral zoonosis caused by bite of a rabid dog that occurs in >100 countries and territories. India accounts for 60% of all the world burden of rabies related deaths. The objective of the present study is to analyse the profile of dog bite victims reporting to ARV OPD of a tertiary care hospital.Methods: This was a cross-sectional study conducted in the ARV OPD of a tertiary care hospital. A total of 228 victims of dog bite were interviewed. They were selected using systematic random sampling technique. Analysis of data obtained was done using SPSS.Results: Majority of the participants belonged to the age group 20-30 years. The proportion of male was higher than female. Most of the victims had suffered category II type of dog bite (66.2%). A statistically significant association was seen between age group and nature of dog bite, sex of victim and type of dog, type of dog and category of dog bite and the category of bite and history of dog biting other individuals.Conclusions: The burden of dog bite seems to be borne by the economically productive age group. All individuals need to be educated on how to behave around animals so that they can avoid animal bite. 

scholarly journals An epidemiological study of poisoning trend in sonipat Haryana region-A one year study

2021 ◽  
Vol 6 (3) ◽  
pp. 118-121
Author(s):  
Yogesh Kumar Vashist ◽  
Yogender Malik ◽  
Gaurav Sharma ◽  
Balraj Sharma ◽  
Sunil Kumar ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Public Health Problem ◽  
Acute Poisoning ◽  
The Body ◽  
Morbidity And Mortality ◽  
North India ◽  
Care Hospital ◽  
Important Public Health Problem ◽  
Effective Prevention ◽  
One Year

Poison is a substance that causes damage or injury to the body and endangers one’s life due to its exposure by means of ingestion, inhalation, or contact and it is an important public health problem causing significant morbidity and mortality throughout the world. Hence, this study was done at tertiary care Hospital in north India (Haryana region) from year 2012 to 2013. 59 cases of acute poisoning in adults due to chemicals were included. Data on age, sex, marital status, occupation, locality, type of poison, were recorded and analyzed by descriptive method. Among 120 postmortem cases, 59 cases were of poisoning. Males (40 cases) outnumbered females (19 cases) and 46 cases were married. Peak occurrence was in the age group of 31-40 years (18 cases). Occupation wise poisoning was commonly found among male laborers (25.4%) and farmers (20.3%) followed by house wives (28.1%) and students (6.8%). Organophosphorus was the commonest agent (42.4%). The incidence of poisoning and its morbidity and mortality can be reduced by developing and implementation of effective prevention strategies.

Epidemiological Features of Dog Bites among Children Attending Emergency Room in Al-showmely General Hospital

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Hasan Alwan Baiee ◽  
Weli Hatif
Keyword(s):  
Emergency Room ◽  
General Hospital ◽  
Health Problem ◽  
Lower Limbs ◽  
Care Providers ◽  
Dog Bite ◽  
Female Ratio ◽  
Post Exposure ◽  
Dog Bites ◽  
Bite Injuries

Dog bites are common and can affect victims of different ages.Dog bite injuries in children are a preventable health problem.Dog bites are a serious health problem that cause both physical and emotional damage to victims and considerable cost to communities. Studies on dog bites among Iraqi children were very scarce.This study focuses on theincidence,mechanisms,and epidemiologicalcircumstances ofdog biteinjuriesin a series of pediatric patients who sustained dog bites in emergency Room. MethodologyA cross sectional study was designed to studyall cases of dog bites attending the emergency room in AL-Showmely General Hospital located in the southern district – Babylon province-Iraq, during the period ; from the January, first,2017 through theend of March, 2018.Special constructed were prepared to collect data through interview of victims or their companions who attended the emergency section during this period,ethical clearances were obtained.*A total of 320 children presented to the hospital with dog bite injuries.The incidence rate of dog bites was 275 per 100000 population, the male to female ratio was 3:1.the most common dog bite injuries took place in September44 (13.75%). Injury rates were highest in those aged 0-4,declining thereafter with age. In the 6-10, year age group141 (44.1%), most of cases living in rural district (villages). The most affected location were lower limbs, only 3.4% of the injured children had completed the post exposure anti rabies vaccine. Dog bites are common health problem among children,Children who are younger than 10 years represent the high-risk group for dog attacks. very few of them had complete the prophylactic post exposure vaccine Therefore, prevention strategies should focus on public education,training health care providers and controlling stray dogs.

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