A cross-sectional study of compliance to anti-rabies post exposure prophylaxis among dog bite patients at tertiary care centre
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20250611Keywords:
ARV, Compliance, Dog bite, Non-compliance, Post exposure prophylaxis, RabiesAbstract
Background: Prevention of rabies is possible by providing the exposed persons with proper post exposure prophylaxis (PEP). Non-compliance to PEP increases mortality. Present study was conducted with objective to assess anti-rabies PEP compliance among dog bite patients.
Methods: A cross sectional study was conducted at anti rabies vaccine (ARV) OPD of tertiary care centre from May 2023 to October 2023 on category II and III dog bite patients. A total sample of 321 patient’s data was collected using a convenient sampling technique. A predesigned and pretested questionnaire was used to collect data regarding sociodemographic profile, history of dog bite exposure and compliance to anti rabies PEP. Patients who received full course of ARV as per recommended schedule were considered compliant. Data was entered in Microsoft excel and analysed by using SPSS version 20.0.
Results: Study result showed that out of 321, 52.95% participants were compliant and 47.05% were non-compliant to anti rabies PEP. In most of participants reason for non-compliance to anti rabies PEP was forgetfulness (48.34%) and in 22.51% fear of loss of wages. Association of age group and socioeconomic status with compliance to anti rabies PEP was found to be significant with p value of 0.000012 and 0.036 respectively.
Conclusions: In our study, non-compliance to anti-rabies PEP was high despite availability of free ARV at government healthcare facilities. Counselling for completion of prescribed schedule on recommended dates should be done on first dose of ARV.
Metrics
References
Panda M, Kapoor R. Compliance to post exposure prophylaxis among animal bite patients- a hospital based epidemiological study. J Fam Med Prim Care. 2022;11:6215-20. DOI: https://doi.org/10.4103/jfmpc.jfmpc_497_22
Shivasakthimani R, Chellaiyan VG, Ravivarman G, Murli R. Compliance of anti-rabies vaccine among dog bite victims in an urban slum of Chennai: a cross sectional study. Int J Community Med Public Health. 2018;5(4):1487-91. DOI: https://doi.org/10.18203/2394-6040.ijcmph20181222
Pal R, Vegiraju V, Nekkanti AC, Abhilash KP. Compliance rate of anti rabies vaccination in patients presenting with an animal bite. Int J Acad Med. 2022;8:199-204. DOI: https://doi.org/10.4103/ijam.ijam_54_22
Kumar SK, Gupta P, Panda PK. Death from rabies: the reason being poor compliance to vaccination or its failure. J Fam Med Prim Care. 2020;9:4437-40. DOI: https://doi.org/10.4103/jfmpc.jfmpc_658_20
Gadapani B, Rahini S, Manapurath RM. Non compliance of the postexposure prophylactic vaccination following animal bites reporting to rural primary health center. J Fam Med Prim Care. 2019;8:3258-62. DOI: https://doi.org/10.4103/jfmpc.jfmpc_592_19
Domple VK, Doibale MK, Sonkar VK, Aswar NR, Jain SR. Treatment compliance of self reported dog bite cases attending outpatient department of tertiary acre hospital, Maharashtra. Int J Med Public Health. 2015;5:297-300.
Shankaraiah RH, Rajashekar RA, Veena V, Hanumanthaiah AD. Compliance to anti rabies vaccination in post exposure prophylaxis. Indian J Public Health. 2015;59:58-60. DOI: https://doi.org/10.4103/0019-557X.152867
Venkatesan M, Dongre A, Ganapathy K. A community based cross sectional study of dog bites in children in a rural district of Tamil Nadu. Int J Med Sci Public Health. 2017;6:109-12. DOI: https://doi.org/10.5455/ijmsph.2017.28062016568
Lilare RR, Rathod N, Narlawar UW. Compliance of post exposure rabies vaccination among patients attending anti rabies OPD in the Government Medical College, Nagpur. Int J Community Med Public Health. 2018;5:3045-8. DOI: https://doi.org/10.18203/2394-6040.ijcmph20182646
Jain M, Prakash R, Garg K, Jain R, Choudhary M. Epidemiology of animal bite cases attending anti rabies clinic of a tertiary care centre in southern Rajasthan. J Res Med Dent Sci. 2015;3:79-82. DOI: https://doi.org/10.5455/jrmds.20153117
Salve H, Rizwan SA, Kant S, Rai SK, Kharya P, Kumar S. Pre treatment practices among patients attending an animal bite management clinic at a primary health centre in Haryana, North India. Trop Doct. 2015;45:123-5. DOI: https://doi.org/10.1177/0049475514562492
Sahu DP, Ps P, Bhatia V, Singh AK. Anti rabies vaccine compliance and knowledge of community health worker regarding animal bite management in rural area of Eastern India. Cureus. 2021;13:e14229. DOI: https://doi.org/10.7759/cureus.14229
Vinay M, Mahendra BJ, Nagaraj GB, Bullappa A, Ananthachari KR, Sheethal MP. 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;2:7092-7. DOI: https://doi.org/10.14260/jemds/1261
Malkar V, Joge U. A study of compliance of animal bite victims to 4 dose intradermal schedule of antirabies vaccine and factors affecting it. Int J Community Med Public Health. 2015;2:156-61. DOI: https://doi.org/10.5455/2394-6040.ijcmph20150517
Dhaduk KM, Unadkat SV, Katharotiya PR, Mer AR, Chaudhary MC, Prajapati MM. Case profile, volume analysis, and dropout rate of anti rabies vaccination regimens among animal bite victims in Gujarat. Indian J Public Health. 2016;60:268-72. DOI: https://doi.org/10.4103/0019-557X.195855
Domple VK, Doibale MK, Sonkar VK, Aswar NR, Khadilkar 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. DOI: https://doi.org/10.4103/2230-8598.165954
Patil AR, Bawa MS, Shirpurkar MB, Tambe MP. A retrospective epidemiological study of delay for updated Thai red cross intradermal anti rabies vaccination schedule amongst animal bite cases attending ARV clinic at a tertiary care centre. Int J Community Med Public Health. 2015;2:19-24. DOI: https://doi.org/10.5455/2394-6040.ijcmph20150205
Downloads
Published
How to Cite
Issue
Section
