Assessment of compliance to anti-rabies vaccination of post exposure prophylaxis among animal bite cases reporting to dedicated anti rabies clinic of a tertiary care hospital, Hassan, Karnataka

2019 ◽  
Vol 11 (3) ◽  
pp. 48-53
Author(s):  
G Praveen ◽  
◽  
K J Subhashini ◽  
Siddharam S Metri ◽  
M Sundar ◽  
...  
2021 ◽  
pp. 20-24
Author(s):  
Mousumi Datta

Background and Objectives Effective prevention of rabies is possible by vaccination following a rabid animal bite. Objectives of this study was to describe demographics, circumstances of bite and the trend of vaccination over last three years (January 2019-November 2021) in an anti-rabies clinic of a tertiary care hospital. Materials and Methods This was an observational study of prospective design. All animal bite victims who attended the anti rabies clinic (ARC) of the study institution during the study period were invited to participate in the study. Data was collected using a structured schedule on first visit and at 28th day to check for on time compliance to vaccination schedule. On time completion was defined as taking all vaccine doses on due dates. Distribution of variables was shown by frequencies and percentages. Indicators were recorded for three consecutive years. Year wise indicators were compared by chi-square test. Results Data was collected for 293 victims. Median age of bite victims was 41.8 years (range 3-78 years) while 58.7 % respondents were below 45 years of age; 71.3 % victims were male. 82.3 % bites were by dogs; 38 % victims had multiple bites. Post-exposure prophylaxis (PEP) with anti-rabies vaccine (ARV) was initiated within 72 hours for 80 % victims and it was completed on time for 66.2 % victims. Three years trend for PEP indicators did not show a statistically significant difference. Conclusion On time PEP schedule completion was fairly high at the studied ARC. Health seeking for PEP following animal bite was not affected by the corona virus pandemic


Author(s):  
Uruj A. Qureshi ◽  
Mariya A. Qureshi

Background: Rabies, a neglected tropical disease, is vaccine preventable and occurs in more than 150 countries. It is almost always fatal. About 40% of deaths due to rabies occur in children under the age of 15 years. Objectives were to study the pattern of injury following exposure to canine bite, bear maul and rabid cow among the attendees of Antirabies clinic of SMHS hospital, Srinagar and to classify the type of exposure using WHO guidelines for initiation of post exposure prophylaxis.Methods: The study was conducted over a period of three months from 1st June 2016 to 31st August 2016, in Anti Rabies Clinic of Department of Community Medicine, Government Medical College, Srinagar. It was a descriptive Study and included all victims of canine bite and rabid cow. A total of 134 patients were received.Results: Most [83 (61.9%)] of the patients were males with mean age of 36.63 years. Legs were the most common [57 (43.2%)] site of exposure followed by hands [15 (11.2%)] and thigh [13 (9.7%)]. Contact with a rabid cow was present in 5 (3.7%). Class II exposure was most frequently encountered [83 (61.9%)]. Class III exposure was seen in 49 (36.6%). All patients who attended anti rabies clinic for post exposure prophylaxis received free Antirabies Vaccine. Combined Antirabies vaccine and immunoglobulin was received by 49 (36.6%).Conclusions: Dog bite related injuries happen frequently in Srinagar. There is proper post exposure prophylaxis in place in SMHS hospital. There is need for curbing the ever increasing dog population and enforcing rabies vaccination in dogs.


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