Non-Compliance of Post Exposure Prophylaxis amongst Dog Bite Cases Attending Antirabies Clinic of a Tertiary Care Hospital – A Record Based Study
Keywords:
Non-Compliance, Post exposure prophylaxis, dog biteAbstract
Introduction: Rabies, a zoonotic disease transmitted by bite of a rabid animal mostly due to dog bite. Rabies is deadly but can be prevented by post exposure prophylaxis with an effective vaccine available. Though 100% fatal disease, the victims are not regular in treatment resulting in higher defaulter rate.
Aim and Objective:- To study the non-compliance of post exposure prophylaxis with antirabies vaccine and factors associated with it.
Material and Methods:- The present record based study was con- ducted at Govt. Medical College, Latur. Dog bite cases from Latur Municipal Corporation area recorded in database during 1st No- vember 2013 to 31st October 2016 were included in the study.
Results:- Out of 7892 dog bite cases 39.64% were less than 18 years of age, 71.39% were males. Non-compliance with antirabies vac- cine was 41.81%. There were 79.84% defaulters among class II and III. Non-compliance was high when bite with pet and observable dog. Defaulter rate was almost similar amongst provoked and un- provoked dog bites. In 69.74% cases lower extremity was site of bite.
Conclusion:- The non-compliance was quiet high with predomi- nant exposure among males and children.
References
Chauhan P, Saini G. Study of profile of animal bite victims attending anti-rabies clinic at Jodhpur. Int J Med Sci Public Health 2013; 2:1088-1091.
Sajna MV, Culas R. Cost Analysis of Post Exposure Pro- phylaxis of Rabies in a Tertiary Care Centre - A Cross Sectional Study. IOSR-JDMS. 2014; 13(12): 08-12.
World Health Organization. WHO expert consultation on rabies-second report [Internet]. 2013 [cited November 17]. Available from:
http://apps.who.int/iris/bitstream/10665/85346/1/9789 240690943_eng.pdf?ua=1
Sudarshan MK, Kodandaram NS, Venkatesh GM, Mahen- dra BJ, Ashwath Narayana DH, Parasuramalu BG. Evalua- tion of a new premedication protocol for administration of equine rabies immunoglobulin in patients with hypersen- sitivity. Indian J Public Health 2007;51:91-6.
Behera TR, Satapathy DM, Mohapatra HH, Sahu AN, Tri- pathy RM. Evaluation of clinical safety of a new equine ra- bies immunoglobulin (Inj. VINRIG). APCRI J 2009; 10:19- 21.
Satapathy DM, Reddy SS, Pratap AK, Behera TR, Malini DS, Tripathy RM et al. Drop-out cases in IDRV: A cause of concern. APCRI J 2010; 12:40-1.
Park K. Park's Textbook of Preventive and Social Medicine, 22nd edition, Banarasidas Bhanot Publishers, Jabalpur, In- dia, 2013:252.
Ichhpujani RL, Chhabra Mala, Mittal Veena, Singh J, Bhardwaj M,Bhattacharya D, Pattanaik SK, Balakrishnan N, Reddy AK, Sampath G, Gandhi N, Nagar SS, Lal Shiv. Epidemiology of Animal Bites and Rabies cases in India- A Multicentric study.J. Commun. Dis. 2008; 40(1): 27-36.
Sudarshan MK. Assessing burden of rabies in India. WHO sponsored national multi-centric rabies survey. Int J Infect Dis. 2007 Jan;11(1):29-35. Epub 2006 May 4.
Reece JF, Chawla SK. 2006, Control of rabies in Jaipur, In- dia, by the sterilization and vaccination of neighbourhood dogs. Veterinary Record, 159:379–383.
WHO Expert Consultation on Rabies (2005) 1st Report, WHO Technical Report Series No 931. World Health Or- ganization, Geneva:1-5
Sanjay Wagh et al. Profile of animal bite in Vidarbha re- gion of Maharashtra, India. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 July; 32(33): 1381-1385.
Debashish Parmar, Deepika Vora, Pragati Rathod, Uday Narlawar. Epidemiological profile of animal bite cases at- tending Anti rabies clinic and pre-treatment practices adopted by them following animal bite: A cross-sectional study. International Journal of Medical and Health Re- search. April 2016; Volume 2; Issue 4; Page No. 11-13.
Kinge KV, Supe AC. Epidemiology of animal bite cases reported to anti-rabies vaccination OPD at a tertiary-care hospital, Nagpur. Int J Med Sci Public Health 2016;5:1579- 1582.
Ganasva A, Bariya B, Modi M, Shringarpure K. Percep- tions and treatment seeking behaviour of dog bite patients attending regional tertiary care hospital of central Gujarat, India. J Res Med Den Sci 2015; 3(1):60-4..
Gadekar Rambhau D, Dhekale Dilip N. Profile of Animal Bite Cases in Nanded District of Maharashtra State, India. Indian Journal of Fundamental and Applied Life Sciences. July- September 2011; 1 (3):188-193.
Gudegowda KS, Shivalingamurthy RK, Vengatesan S, So- bagiah RT, Krishnappa AK. Compliance to Post Exposure Rabies Vaccination among Patients Attending Anti - Ra- bies Clinic in a Tertiary Care Hospital, Bengaluru. Ntl J Community Med 2016; 7(10):811-815.
Khokhar A, Meena GS, Mehra M. Profile of dog bite cases attending M.C.D. dispensary at Alipur, Delhi. Indian Jour- nal of Community Medicine. 2003;28(4):157-60.
Domple VK, Doibale MK, Sonkar VK, Aswar NR, Khadil- kar HA, Jain SR. Treatment compliance of self-reported dog bite cases attending outpatient department of Tertiary Care Hospital, Maharashtra. Int J Med Public Health 2015;5:297-300.
Bedi R, Bedi DK, Tankha A, Choudhary V, Matoria RS. Profile of Animal Bite Cases Attending Anti Rabies Clinic of J.L.N. Medical College & Hospital, Ajmer. APCRI Jour- nal. 2006; VIlI(I):28-30.
Niraj Bharadva, Shreyash R. Mehta, Pravin Yerpude, Keerti Jogdand, Kartik N. Trivedi. Epidemiology of animal bite cases attending tertiary health care centre of Bhuj city of India: a cross-Sectional study. International Journal of Interdisciplinary and Multidisciplinary Studies. 2015;2(9):98-102.
Virendra Wankhede, Prasad Waingankar, Seema An- jenaya, B. T. Telang. Epidemiological study of dog bite cases reported at ARV clinic of rural hospital Panvel in Raigad district of Maharashtra, India. Intl J Recent Trends in Sci and Technology. 2013;8(1): 2013:52-55.
M. A. Masoodi, S. M. Salim Khan, Mariya Amin Querieshi, Asiya Wali, Yasmeen Jan, Shahnaz Nabi. Profile of animal bite cases attending antirabies clinic of Government Medi- cal College associated S. M. H. S. Hospital, Srinagar. JK- Practitionar. January-June 2011;16(1-2):76-79.
Aworh MK, Nwosuh CI, Ajumobi OO, Okewole PA, Oko- locha EC, Akanbi BO, et al. A retrospective study of rabies cases reported at Vom Christian Hospital, Plateau State, Nigeria, 2006-2010. Niger Vet J 2011;32:366-70.
Mohd Junaid, Tabrez Ahmad, Gumastha R, Deoke A R. Epidemiological study of dog bite victims in antirabies clinic of a tertiary care hospital. Indian Journal of Biologi- cal and Health Science. October 2012;1(1):12-16.
Umarigar P, Parmar G, Patel PB, Bansal RK. Profile of Animal Bite Cases Attending Urban Health Centres in Su- rat City: A Cross-Sectional Study. Natl J Community Med 2012; 3(4):631-5.
Pavitra R., Viveki R. G., Halappanwar A. B. Socio Demo- graphic Profile and Management Practices of Animal Bite Cases Attending Anti Rabies Clinic in a Tertiary Care Cen- tre in North Karnataka. Ind J of Applied Res. January 2015; 5(1):371-73.
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