To study the treatment compliance among the animal bite patients attending anti rabies clinic in a tertiary care hospital, Solapur

Authors

  • Dhananjaya Chinthapatlu Desaiah Department of Pediatrics, The Oxford Medical College and Research Centre, Bangalore, Karnataka, India
  • Lokesh Kabbalu Chikkegowda Department of Community Medicine, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India
  • Swetha Chandru Department of Biochemistry, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India
  • Santhosh Munipapanna Department of Community Medicine, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20173851

Keywords:

Intradermal, PEP, ARV, Compliance

Abstract

Background: Rabies is 100% fatal zoonotic disease. In India majority of the disease is caused by bite of dogs, whereas bite of several other animals like cats, donkeys, monkeys, pigs, jackals and wolves can cause rabies. Post exposure prophylaxis (PEP) effectively prevents the occurrence of rabies in the exposed person. Hence the current study is done to know the treatment compliance among the patients attending Anti rabies clinic.

Methods: It is hospital based longitudinal study. Data was collected through personal interview from January 1st 2013 to December 31st 2013 and clinical examination was done. All patients were registered and were given first dose of ARV at the time of registration and advised to take all the remaining doses as per schedule. Data regarding their compliance for completion of vaccination schedule was analyzed. Statistical analysis was done by using simple proportions and percentages.

Results: Out of 7205 patients, 5343 (74.15%) patients completed second dose, 5021 (69.68%) patients completed third dose and 2998 (41.6%) patients completed fourth dose of intradermal schedule of rabies vaccination and anti-rabies immunoglobulins were advised for 1536 patients among them 1180 (76.82%) patients took immunoglobulins.

Conclusions: Most of the patients are not completing ARV intradermal schedule. Hence the animal bite patients should be motivated effectively through health education by interpersonal communication at the time of initiation of vaccination course about timely and complete administration of anti - rabies vaccination to attain the goal of Rabies free India. 

References

Suryakantha AH. Community Medicine with recent advances. 4th Edition. Chapter 20. Epidemiology of Communicable diseases. New Delhi: Jaypee The Health Sciences Publishers; 2017: 521.

Park K. Textbook of Preventive and Social medicine. 23rd edition. Epidemiology of Communicable diseases, Zoonoses, Rabies. Premnagar, Jabalpur: Banarsidas Bhanot publisher; 2015: 276.

Domple VK, Doibale MK, Sonkar VK, Aswar NR, Khadilkar HA, Jain SR, et al. Treatment compliance of self-reported dog bite cases attending outpatient department of Tertiary Care Hospital, Maharashtra; Int J Med Public Health. 2015;5(4):297-300.

Bharti OK, Damme WV, Decoster K, Isaakidis P, Appelmans A, Ramachandran V, et al. Breaking the Barriers to Access a Low Cost Intra-Dermal Rabies Vaccine through Innovative “Pooling Strategy”. World J Vaccines. 2012;2:121-4.

Bariya B, Patel S, Shringarpure K, Mazumdar V. Compliance of Animal Bite Patients Managed by Intramuscular Route of Anti-rabies Vaccination. RRJoI. 2015;4(2):1-7.

WHO. WHO Expert Consultation on Rabies. World Health Organ Tech Rep Ser. 2005;931:1-88.

Sudarshan MK, Mahendra BJ, Madhusudana SN, Gangaboraiah. An Epidemiological study of animal bites in India. Results of a WHO sponsored national multi centric rabies survey. J Commun Dis. 2006;38(1):32-9.

Karmakar A, Bhattacharya A. Epidemiology of Animal Bites with Special Reference to Post-exposure Prophylaxis of Rabies in and Around Malda, West Bengal: A Hospital-based Study. Int J Cur Rev. 2017;9(10):19-22.

Sridhar PV, Shanmukappa, Vinay M, Anil Kumar K. Profile of children bitten by dogs, reporting to a government tertiary care hospital and their compliance to post exposure prophylaxis. JEMDS. 2014;3(43):10673-8.

Vinay M, Mahendra BJ, Goud N, Kumar A. Socio-demographic characteristics affecting compliance to intra dermal rabies vaccination at anti rabies clinic in a Government tertiary care hospital in Karnataka. J Evol Med Dent Sci. 2013;2(37):7092-7.

Romero-Sengson RF. Philippine children’s medical center: factors affecting compliance to rabies post-exposure prophylaxis among pediatric patients seen at the research. Institute Trop Med. 2013;14(2):56-62.

Downloads

Published

2017-08-23

How to Cite

Desaiah, D. C., Chikkegowda, L. K., Chandru, S., & Munipapanna, S. (2017). To study the treatment compliance among the animal bite patients attending anti rabies clinic in a tertiary care hospital, Solapur. International Journal Of Community Medicine And Public Health, 4(9), 3394–3398. https://doi.org/10.18203/2394-6040.ijcmph20173851

Issue

Section

Original Research Articles