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

2017 ◽  
Vol 4 (9) ◽  
pp. 3394 ◽  
Author(s):  
Dhananjaya Chinthapatlu Desaiah ◽  
Lokesh Kabbalu Chikkegowda ◽  
Swetha Chandru ◽  
Santhosh Munipapanna
Keyword(s):  
Interpersonal Communication ◽  
Tertiary Care ◽  
Treatment Compliance ◽  
Vaccination Schedule ◽  
Study Data ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Fourth Dose ◽  
Exposure Prophylaxis ◽  
Rabies Vaccination

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. 

scholarly journals Pattern of exposure among victims of suspected rabid animal attending anti-rabies clinic of tertiary care hospital

2018 ◽  
Vol 5 (5) ◽  
pp. 1916
Author(s):  
Uruj A. Qureshi ◽  
Mariya A. Qureshi
Keyword(s):  
Tertiary Care ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Class Iii ◽  
Pattern Of Injury ◽  
Post Exposure ◽  
Medical College ◽  
Exposure Prophylaxis ◽  
Rabid Animal ◽  
Rabies Vaccination

Background: Rabies, a neglected tropical disease, is vaccine preventable and occurs in more than 150 countries. It is almost always fatal. About 40% of deaths due to rabies occur in children under the age of 15 years. Objectives were to study the pattern of injury following exposure to canine bite, bear maul and rabid cow among the attendees of Antirabies clinic of SMHS hospital, Srinagar and to classify the type of exposure using WHO guidelines for initiation of post exposure prophylaxis.Methods: The study was conducted over a period of three months from 1st June 2016 to 31st August 2016, in Anti Rabies Clinic of Department of Community Medicine, Government Medical College, Srinagar. It was a descriptive Study and included all victims of canine bite and rabid cow. A total of 134 patients were received.Results: Most [83 (61.9%)] of the patients were males with mean age of 36.63 years. Legs were the most common [57 (43.2%)] site of exposure followed by hands [15 (11.2%)] and thigh [13 (9.7%)]. Contact with a rabid cow was present in 5 (3.7%). Class II exposure was most frequently encountered [83 (61.9%)]. Class III exposure was seen in 49 (36.6%). All patients who attended anti rabies clinic for post exposure prophylaxis received free Antirabies Vaccine. Combined Antirabies vaccine and immunoglobulin was received by 49 (36.6%).Conclusions: Dog bite related injuries happen frequently in Srinagar. There is proper post exposure prophylaxis in place in SMHS hospital. There is need for curbing the ever increasing dog population and enforcing rabies vaccination in dogs.

scholarly journals Post exposure prophylaxis for HIV among healthcare workers due to occupational exposure: a record based study at a tertiary care teaching hospital of Kolkata

2021 ◽  
Vol 8 (5) ◽  
pp. 2503
Author(s):  
Paramita Sarkar ◽  
Saibendu Kumar Lahiri
Keyword(s):  
Occupational Exposure ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Occupational Exposures ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Skin Mucus ◽  
Needle Stick ◽  
Post Exposure ◽  
Exposure Prophylaxis

Background: Healthcare workers (HCWs) regularly face the risk of exposure to sharp injuries and splashes as an occupational hazard, which presents major risk for acquiring blood-borne infectious agents like human immunodeficiency virus (HIV) which can be minimized by taking post exposure prophylaxis (PEP) measures. There are limited studies from India documenting details of PEP for HIV. This record-based study aimed to determine the occurrence of needle stick injuries (NSIs) and other high-risk occupational exposures to blood and body fluids (BBFs) among HCWs in a tertiary care hospital, Kolkata. We aimed to study details of PEP regimens used among HCWs exposed to HIV.Methods: Hospital record was analyzed from reported incidences of occupational exposures to BBFs occurred during the period of October 2013 to March 2019. Information on self-reported incidence of occupational exposure, and post-exposure management were collected.Results: A total of 105 incidents of occupational exposure were registered during study period. Interns (37, 35.2%) were most frequently exposed, followed by physicians (22, 21.0%) and nurse (21, 20.0%). 88 (83.8%) of the personnel sustained NSIs, and 17 (7.2%) had splashes to skin, mucus membranes. There was no significant difference between subjects with splashes to skin, mucus membranes and needle-stick cases regarding discontinuation of post exposure prophylaxis (PEP) (11.8% versus 19.3%, p<0.548). No cases of sero-conversion were reported.Conclusions: In spite of high incidences of exposures to HIV source, good efficacy of PEP was observed with no sero-conversion. PEP for HIV was well tolerated. Study emphasized the need for creating awareness about timely reporting of incidence.

scholarly journals Post exposure compliance of rabies vaccination among cases attending anti-rabies clinic at tertiary care centre, Rajasthan

2019 ◽  
Vol 6 (4) ◽  
pp. 1618
Author(s):  
Dilip Raj ◽  
Mahendra Kumar Verma ◽  
Dharmesh Kumar Sharma ◽  
Sudhakar Sharma ◽  
Munmun Yadav
Keyword(s):  
Compliance Rate ◽  
Tertiary Care ◽  
Red Cross ◽  
Post Exposure Prophylaxis ◽  
Tertiary Care Centre ◽  
Long Distance ◽  
Post Exposure ◽  
Number Of Patients ◽  
Exposure Prophylaxis ◽  
Rabies Vaccination

Background: Rabies is one of the deadliest diseases of mankind, and has terrified since antiquity. It is 100 per cent fatal, however, 100% preventable. In India, rabies causes an estimated 20,565 deaths with 17.4 million exposures to animal bites, mainly dog bites, occurring every year. In India a person is bitten by an animal in every 2 seconds and someone dies from rabies every 30 second. Complete post-exposure prophylaxis is necessary among the animal bite cases for complete protection. Hence this study aims to determine the patient’s compliance for intradermal anti-rabies vaccination and also to determine the constraints for compliance.Methods: A retrospective record based study was conducted in the ARC of S.M.S.M.C, Jaipur where patients were provided intradermal rabies vaccination (updated Thai Red Cross regimen) for post-exposure prophylaxis. The records maintained at ARC-SMSMC under department of community medicine from March 2016- February 2017 were analysed. The total number of patients was 8873 from which 8590 subjects were recruited for the study after excluding category I cases, pre-exposure cases rat bite, human bite, re-exposure and pre-exposure cases. The major constraints were found out by interviewing the patient/guardian through the telephone.Results: The compliance rate for intradermal rabies vaccination (IDRV) is 81.87%. The major constraints were timings not convenient, personal or social workload, long distance from the hospital, forgotten the dates.Conclusions: The compliance rate for rabies vaccination is considerably low for this highly fatal disease. Considering these major constraint factors, the animal bite victims should be motivated effectively through health education at the time of initiation of vaccination course to attain the goal of rabies free India.

scholarly journals A study of treatment compliance of dog bite cases reporting to anti-rabies clinic of M.K.C.G Medical College, Odisha, India

2017 ◽  
Vol 4 (10) ◽  
pp. 3757 ◽  
Author(s):  
Dhaneswari Jena ◽  
R. M. Tripathy ◽  
Srabani Pradhan ◽  
Dillip Kumar Mahapatra
Keyword(s):  
Wound Care ◽  
Tertiary Care ◽  
Treatment Compliance ◽  
Good Health ◽  
Post Exposure Prophylaxis ◽  
Dog Bite ◽  
Health Seeking ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Exposure Prophylaxis

Background: Rabies a dreadful disease can easily be prevented by immediate wound care, vaccination and immunoglobin administration. Prognosis depends on the promptness of initiation, regularity and completion of treatment, determined by patient’s compliance. It partly depends on the patience and devotion of doctor for counselling the patient. The objectives of the study were to assess the treatment compliance of dog bite cases attending tertiary care centre for post exposure prophylaxis (PEP) of Rabies. Methods: It is a record based longitudinal study, conducted in Anti- Rabies Clinic of M.K.C.G Medical College from January 2016 to July 2016. Patients registered on first visit followed up to the 4th dose, the last cases registered on June 15th was followed up to July31st to declare it as completed, delayed or defaulted as decided. Results: Total 1658 cases were registered during the study period. Most of them were male (73.8%) and ≤20 yrs of age. 1222 cases (73.7%) completed treatment, out of which 793 cases completed on schedule and 429 cases delayed the doses. 436 (26.3%) cases had defaulted treatment i.e. missed one or more dose. Significant associations were found between treatment completion status and place of residence, education and age of the participants. Reporting within 1 day of the bite is associated with better compliance to PEP, showing their good health seeking behaviour. Completion rate was significantly higher in category III cases. Conclusions: Intensive counselling needs to be done on day 1 and day 7th day of vaccination. 

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