Compliance of post exposure rabies vaccination among patients attending anti-rabies OPD in the Government Medical College, Nagpur

Lilare, Rushali Rajan; Rathod, Neeta Dilip; Narlawar, Uday

doi:10.18203/2394-6040.ijcmph20182646

Cited by 4 publications

(5 citation statements)

References 2 publications

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“…In this study, cases of animal bites were more in males than females, similar to findings of Sharma et al 7 We also found that the majority of patients that is 89% were exposed to dog bites, similar to the findings of Karmakar et al and Nishant et al but more than findings by Gadapani et al [8][9][10] In our study, lower limb was the most commonly injured site in 59.3% patients and similar findings were observed in a study conducted by Domple et al 11 In the present study, 45 (15.7%) patients did not wash wound after bite as compared to study by Kawale et al where 3206 (53%) did not manage their wound. 12 In our study, it was seen that 78% of patients completed all doses of ARV which was similar to findings of Lilare et al and Jena et al 6,13 The compliance to ARV in our study was more than findings by Nishant et al , Titoria et al and Praveen et al 9,14,15 Compliance to RIG in our study was 63.3% which is in accordance with findings by Kawale et al and Datta et al 12,16 There was significant association between compliance to ARV last dose with the type of animal. Similar results were found in a study conducted by Shivasakthimani et al and Wadde et al 17,18 There was significant association found between compliance to RIG with gender, socioeconomic status, type of animal and type of wound.…”

Section: Discussionsupporting

confidence: 89%

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Compliance to post-exposure prophylaxis among patients attending anti-rabies vaccination clinic in a tertiary health care centre in central India: a cross sectional study

Sastry,

Deshmukh,

Jadhao

et al. 2023

Int J Community Med Public Health

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Background: Rabies is a fatal but vaccine-preventable disease. Prevention of rabies in exposed individuals is possible by providing them with the proper post-exposure prophylaxis. This study aims to assess the compliance to post-exposure prophylaxis in animal bite cases and factors associated with it. Methods: A cross sectional study was conducted between September 2022 to November 2022 using a predesigned, pretested proforma to interview 300 patients attending anti-rabies vaccination clinic in a tertiary health care centre in central India. Results: Majority of the patients 268 (89.3%) suffered category 3 animal bite and 32 (10.7%) patients suffered category 2 animal bite. 125 (41.7%) patients washed the wound with water, soap and applied antiseptic. 234 (78%) patients completed their last dose of anti-rabies vaccine (ARV) while compliance to Rabies Immunoglobulin (RIG) was seen in 167 (63.3%) patients of all cases requiring it. Out of all the patients who took Equine RIG, 7 (4.5%) showed hypersensitivity reactions. Significant association was found between compliance to ARV with type of animal and status of animal after 10 days; and compliance to RIG with gender, socio-economic status, type of animal and type of wound. Conclusions: Compliance to ARV and RIG in our study was 78% and 63.3% respectively. Major reason for poor compliance to RIG was the price of immunoglobulin. Health education regarding significance of post-exposure prophylaxis is needed among the population.

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Section: Discussionsupporting

confidence: 89%

“…From a study conducted by Lilare et al taken as reference, taking prevalence of 73.5% with 5% absolute error, the sample size estimated was 299. 6 The final sample size was rounded off to 300. Data collected was entered in MS Excel Sheet and analyzed using SPSS software Version 20.…”

Section: Sample Size Estimationmentioning

confidence: 99%

Compliance to post-exposure prophylaxis among patients attending anti-rabies vaccination clinic in a tertiary health care centre in central India: a cross sectional study

Sastry,

Deshmukh,

Jadhao

et al. 2023

Int J Community Med Public Health

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“…[ 10 ] and Lilare et al . [ 6 ] in their study reported that 64% and 72.2% of animal bite victims had washed the wound site, respectively. However, the findings of the present study were different from those reported by Jain et al .…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, taking the population proportion (prevalence) for wound washing by the study participants following animal bite as 72.2% as per a study carried out by Lilare et al . [ 6 ] among patients attending anti-rabies OPD at the Government Medical College, Nagpur, and absolute error as 5%, the sample size was calculated using the following formula:…”

Section: Methodsmentioning

confidence: 99%

An epidemiological study of domiciliary practices and health seeking behaviour among animal bite patients attending a hospital in Delhi

Panda

Kapoor

2022

Journal of Family Medicine and Primary Care

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Background and Objectives: Rabies, although a 100% fatal disease, is preventable with appropriate post-exposure prophylaxis. A hospital-based cross-sectional study was conducted among 360 animal bite patients in the anti-rabies clinic (ARC) of Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi (VMMC & SJH). Methods: A predesigned, pretested, structured questionnaire was administered by interview technique to assess the sociodemographic profile, health-seeking behavior, and the various domiciliary practices adopted by the animal bite patients. Results: Out of 360 study participants (348; 96.7%) visited a health facility (government/private) after an animal-bite incident. Of the 241 study participants who washed their wounds, 131 (54.4%) had washed the wound using soap and water and 216 (89.6%) had washed the wound for less than 5 min. Chili paste (128; 35.6%) was the most commonly used household remedy. Interpretation and Conclusions: It was observed that a considerable segment of the study population approached health care facilities for vaccination following animal bite but did not practice the correct wound-washing practices immediately after the incident, and a sizeable proportion of the study participants resorted to non-allopathic practices (e.g., chili paste) as a measure of first aid to manage animal bite wounds. No association was found between the sociodemographic determinants and domiciliary practices and health-seeking behavior ( P > 0.05). As rabies is a preventable disease, increasing awareness pertaining to its prevention may prove to be beneficial in reducing the morbidity and mortality.

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“…[ 12 ] and Lilare et al . [ 13 ] reported in their studies that 64% and 72.2% of animal bite victims had washed the wound site, respectively. However, the findings of the present study were different from those reported by Jain et al .…”

Section: Discussionmentioning

confidence: 99%

Compliance to post-exposure prophylaxis among animal bite patients – A hospital-based epidemiological study

Panda¹,

Kapoor²

2022

Journal of Family Medicine and Primary Care

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Background and Objectives: Although rabies is a 100% fatal disease, it is preventable with appropriate and timely post-exposure prophylaxis (PEP). A hospital-based study was conducted among 360 animal bite patients in the Anti-Rabies Clinic (ARC) of Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi (VMMC and SJH). Materials and Methods: A predesigned, pretested, structured questionnaire was administered by the interview technique to assess the compliance to PEP among the animal bite patients attending the ARC, which comprised assessment of wound washing practices adopted by the animal bite patients, administration of rabies immunoglobulin (RIG), and compliance to full course of anti-rabies vaccination (ARV). Results: Out of 360 study participants, 131 (54.4%) had washed the wound using soap and water and 216 (89.6%) had washed the wound for less than 5 min. The compliance to the full course of ARV was seen among 172 (47.8%) study participants, whereas 164 (45.5%) were found to be non-compliant and 24 (6.7%) were found to be delayed compliant. Conclusions: It was observed that a considerable segment of the study population did not practice the correct wound washing practices, and only about half of the total study participants (172; 47.8%) were found to be compliant to the full course of ARV. As rabies is a 100% preventable disease, increasing awareness pertaining to appropriate PEP may prove to be beneficial in improving the compliance to PEP and reducing the burden of mortality.

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Compliance of post exposure rabies vaccination among patients attending anti-rabies OPD in the Government Medical College, Nagpur

Cited by 4 publications

References 2 publications

Compliance to post-exposure prophylaxis among patients attending anti-rabies vaccination clinic in a tertiary health care centre in central India: a cross sectional study

Compliance to post-exposure prophylaxis among patients attending anti-rabies vaccination clinic in a tertiary health care centre in central India: a cross sectional study

An epidemiological study of domiciliary practices and health seeking behaviour among animal bite patients attending a hospital in Delhi

Compliance to post-exposure prophylaxis among animal bite patients – A hospital-based epidemiological study

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