Profile of animal bite victims reporting to intradermal rabies vaccination centre at a tertiary care government hospital: 10 years experience
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20191381Keywords:
Rabies, Anti rabies clinic, Experience, Animal bite, GovernmentAbstract
Background: Rabies is acute, progressive encephalitis caused by a lyssavirus. Over 95% of rabies deaths in humans result from virus transmission through the bites of infected dogs. To provide Post Exposure Prophylaxis to the people, Anti Rabies Clinics have been established in many places, especially at tertiary care centres. The Anti-Rabies Clinic at Mandya Institute of Medical Sciences, Mandya, Karnataka state (ARC-MIMS) is one such centre, the first of its kind in Karnataka state more than ten years ago. We are presenting the clinical profile of the animal bite victims who sought treatment at our centre in the past 10 years.
Methods: It was a retrospective record based study conducted at Mandya Institute of Medical Sciences with sample size of 44087 using purposive sampling from May 2018 to June 2018 and data was collected using data extraction sheet.
Results: Among the 44087 animal bite victims majority i.e., 66.6% were males, most of them were in the age group of 16-60 years. Sixty percent of the animal bite victims were residing in rural areas. All the category 2 and category 3 bite victims were administered anti rabies vaccination and 15.4% of the category 3 bite victims were administered rabies immunoglobulin.
Conclusions: Majority of animal bite victims were presented and treated within 1 day. The practice of giving health education periodically to the school children and making phone calls to remind follow up days which is being practiced should be promoted.
References
WHO Expert Consultation on Rabies: WHO TRS N°1012. World Health Organization. World Health Organization; 2018. Available at: https://www. who.int/rabies/resources/who_trs_1012/en/. Accessed 28 December 2018.
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.
Strategic Framework for Elimination of Human Rabies Transmitted by Dogs in the South East Asia region. World Health Organization. Available at: http://www.Searo.Who.Int/Entity/Emerging_Diseases/Links /Zoonoses_Sfehrtd-Sear.Pdf. Accessed 28 December 2018.
Gongal G, Wright AE. Human rabies in the WHO Southeast Asia region: Forward steps for elimination. Adv Prev Med. 2011;2011:383870.
Indu D, Asha KP, Mini SS, Anuja U. Profile study of patients attending preventive clinic for animal bite at Government Medical College, Thiruvananthapuram. APCRI J. 2012;15(1):30-2.
Behera TR, Satapathy DM, Tripathy RM, Sahu A. Profile of animal bite cases attending the ARC of MKCG Medical College. APCRI J. 2008;9(2):20-5.
Bhise JD, Bhise SD. Profile of animal bite cases at immune prophylaxis clinic, tertiary care centre. Int J Community Med Public Health. 2017;4:2587-91.
Masoodi MA, Khan SMS, Qurieshi MA, Wali A, Nabi S. Profile of Animal Bite Cases Attending Anti-rabies Clinic of Government Medical College Associated S.M.H.S. Hospital, Srinagar. Epidemiol. 2011;16:76–9.
Gadekar RD, Dhekale DN. Profile of Animal Bite Cases in Nanded District of Maharashtra State, India. Indian J Fundamental Appl Life Sci. 2011;1(3):188–93.
Wankhede V, Waingankar P, Anjenaya S, Telang BT. Epidemiological Study of Dog Bite Cases Reported at ARV Clinic of Rural Hospital Panvel in Raigad District of Maharashtra, India. Int J Recent Trends Sci Technol. 2013;8(1):52–5.
Sharma AL, Bhuyar PA, Bhawalkar JS, Pawar SN. Short communication Profile of Management of Animal Bite Cases among Rural Population in District Pune, Maharashtra. IJPH. 2007;51:2–3.
Desaiah DC, Chikkegowda LK, Chandru S, Munipapanna S. To study the treatment compliance among the animal bite patients attending anti rabies clinic in a tertiary care hospital, Solapur. Int J Community Med Public Health. 2017;4:3394-8.