Knowledge on rabies transmission, immunisation and wound management among medical undergraduate students at a medical institute in North India

Gurutheja H. Chandrappa; Reema Kumari

doi:10.18203/2394-6040.ijcmph20260301

Authors

Gurutheja H. Chandrappa Department of Community Medicine & Public Health, KGMU, Lucknow, Uttar Pradesh, India
Reema Kumari Department of Community Medicine & Public Health, KGMU, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20260301

Keywords:

Immunisation, Medical undergraduates, Post-exposure prophylaxis, Rabies, Wound management

Abstract

Background: Medical undergraduates, as future frontline healthcare providers, are instrumental in early detection, risk stratification, and management of rabies exposures. Evaluating their knowledge particularly regarding rabies transmission routes, WHO exposure categories, wound care, and post-exposure prophylaxis is vital for guiding educational interventions and enhancing clinical competencies in rabies prevention and control at both institutional and public health levels.

Methods: A cross-sectional study was conducted among 240 medical undergraduate students from King George’s Medical University in Lucknow from May 2025 to July 2025. A pre-tested, semi-structured, self-administered questionnaire was sent as a Google form to all the participants via WhatsApp messaging app. All the participants responded to the questionnaire. Hence, the final analysis comprised of these 240 respondents.

Results: While medical undergraduates have strong knowledge of rabies causation, reservoirs, wound washing, and avoidance of harmful practices, there are misconceptions in understanding of categorizing the exposure, risk-based management, and intradermal vaccination protocols.

Conclusions: The findings suggest the importance of enhancing clinical scenario-based teaching and incorporating updated guidelines into medical curriculum to bridge these knowledge gaps.

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References

World Health Organization. Rabies, 2024. Available at: https://www.who.int/news-room/fact-sheets/detail/rabies. Accessed on 22 August 2025.

Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, et al. Estimating the global burden of endemic canine rabies. PLoS Negl Trop Dis. 2015;9(4):e0003709. DOI: https://doi.org/10.1371/journal.pntd.0003709

Radhakrishnan S, Vanak AT, Nouvellet P, Donnelly CA. Rabies as a public health concern in India: a historical perspective. Trop Med Infect Dis. AG. 2020;5(4):162. DOI: https://doi.org/10.3390/tropicalmed5040162

World Health Organization. Rabies in India. Available at: https://www.who.int/india/health-topics/rabies. Accessed August 22, 2025.

Nale TN, Mishra D, Tiwari S. Marching towards Rabies free India: challenges and way forward. Epi-Dis-Phere (Publication of Health Resilience). 2025;1:50-5.

Sudarshan MK, Madhusudana SN, Mahendra BJ, Rao NS, Narayana DA, Rahman SA, et al. Assessing the burden of human rabies in India: results of a national multi-center epidemiological survey. Int J Infect Dis. 2007;11(1):29-35. DOI: https://doi.org/10.1016/j.ijid.2005.10.007

Page not found. Global Alliance for Rabies Control, 2025. Available at: https://rabiesalliance.org/zero-by-30. Accessed on 22 August 2025.

NCDC. National guidelines for rabies prophylaxis, 2019. Available at: https://ncdc.gov.in/. Accessed on 22 August 2025.

Fitzpatrick MC, Shah HA, Pandey A, Bilinski AM, Kakkar M, Clark AD, et al. One Health approach to cost-effective rabies control in India. Proc Natl Acad Sci U S A. 2016;113(51):14574-81. DOI: https://doi.org/10.1073/pnas.1604975113

Kumar NG, Hamsa L, Ranganath TS. A study on knowledge of animal bite management, rabies immunization, and prevention of rabies among interns in a tertiary care hospital, Bengaluru. RGUHS Nat J Public Health. 2022;7(1):5-8. DOI: https://doi.org/10.26463/rnjph.7_2_3