scholarly journals An epidemiological study of the clinico-social profile of animal bite patients attending the anti-rabies clinic of a tertiary care hospital in New Delhi

2020 ◽  
Vol 7 (11) ◽  
pp. 4312
Author(s):  
Manasi Panda ◽  
Richa Kapoor ◽  
Vasanthi Ramesh
Keyword(s):  
Tertiary Care Hospital ◽  
Adult Population ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Post Exposure Prophylaxis ◽  
New Delhi ◽  
Care Hospital ◽  
Government Organizations ◽  
Exposure Prophylaxis ◽  
Study Participants

Background: Rabies is a zoonotic disease caused by the rabies virus (RABV). Annually about 59,000 persons die of rabies, of which 20,000 are from India alone. Rabies though 100% fatal is preventable with post-exposure prophylaxis which includes wound washing, anti-rabies vaccination (ARV) and rabies immunoglobulin. The objective of the present study was to describe the clinico-social profile of animal bite patients attending the anti-rabies clinic of a tertiary care hospital in New Delhi.Methods: A longitudinal descriptive hospital-based study was conducted in the anti-rabies clinic of Vardhman Mahavir Medical College and Safdarjung Hospital (VMMC and SJH), New Delhi from February 2019 to July 2020. Study participants were interviewed by using a semi-structured, pre-designed and pre-tested proforma. Data regarding socio-demographic and clinical profile of the study participants following animal bite exposure was collected.Results: The total number of animal bite victims enrolled in the study were 360. Majority of the bite victims belonged to adult population (20-59 years). Majority were males (73.9%). 58.9% were working and 27.5% were students. Most bites belonged to category III (80.8%). Dogs (88.1%) were the most common biting animal. 79% of the bites were provoked.Conclusions: Knowing the socio-demographic characteristics and the clinical profile of animal bite victims gives an idea about important baseline characteristics of animal bite victims and the burden of the disease. As in majority cases dogs are involved, steps should be taken to control stray dog population in co-ordination with the Non-government organizations (NGOs) and Municipal Corporations.

scholarly journals Epidemiology and trend of rabies post exposure prophylaxis at anti rabies clinic of a tertiary care hospital in India

2021 ◽  
pp. 20-24
Author(s):  
Mousumi Datta
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Due Dates ◽  
Health Seeking ◽  
Effective Prevention ◽  
Post Exposure ◽  
Significant Difference ◽  
Exposure Prophylaxis

Background and Objectives Effective prevention of rabies is possible by vaccination following a rabid animal bite. Objectives of this study was to describe demographics, circumstances of bite and the trend of vaccination over last three years (January 2019-November 2021) in an anti-rabies clinic of a tertiary care hospital. Materials and Methods This was an observational study of prospective design. All animal bite victims who attended the anti rabies clinic (ARC) of the study institution during the study period were invited to participate in the study. Data was collected using a structured schedule on first visit and at 28th day to check for on time compliance to vaccination schedule. On time completion was defined as taking all vaccine doses on due dates. Distribution of variables was shown by frequencies and percentages. Indicators were recorded for three consecutive years. Year wise indicators were compared by chi-square test. Results Data was collected for 293 victims. Median age of bite victims was 41.8 years (range 3-78 years) while 58.7 % respondents were below 45 years of age; 71.3 % victims were male. 82.3 % bites were by dogs; 38 % victims had multiple bites. Post-exposure prophylaxis (PEP) with anti-rabies vaccine (ARV) was initiated within 72 hours for 80 % victims and it was completed on time for 66.2 % victims. Three years trend for PEP indicators did not show a statistically significant difference. Conclusion On time PEP schedule completion was fairly high at the studied ARC. Health seeking for PEP following animal bite was not affected by the corona virus pandemic

scholarly journals Study of demographic profile of animal bite cases and management practices in a dedicated anti rabies clinic of a tertiary care hospital, Hassan, Karnataka

2019 ◽  
Vol 6 (11) ◽  
pp. 4816
Author(s):  
Praveen Gowda ◽  
Subhashini K. J. ◽  
Siddharam S. Metri ◽  
M. Sundar
Keyword(s):  
Management Practices ◽  
Tertiary Care Hospital ◽  
Adult Population ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Control Programme ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Cross Sectional ◽  
Demographic Profile

Background: Animal bites cause a big burden in terms of morbidity and mortality throughout the world. These bites could be caused by rabid animals causing rabies. Annually about 59,000 persons die of rabies, of which 20,000 is from India alone. Rabies though 100% fatal is preventable with post-exposure prophylaxis which includes wound wash, anti-rabies vaccination (ARV) and rabies immunoglobulin. The objectives of the present study was to describe the demographic profile of animal bite cases and to assess the management practices of animal bite cases reporting to dedicated anti-rabies clinic (ARC) of a tertiary care hospital, Hassan, Karnataka.Methods: A cross-sectional study was conducted from the inception of anti-rabies clinic (12th October 2017) to August 2018 among animal bite cases reported to ARC. They were interviewed by using a semi-structured, pre-designed and pre-tested proforma. Data regarding socio-demographic profile were collected from the animal bite victims. All the animal bite cases were managed as per WHO guidelines.Results: The total number of animal bite victims reported to ARC during the study period was 3500. Majority of the bite victims belonged to adult population (20-60 years). Majority were males (66.2%). 77% belonged to the rural population. Dogs (97.1%) were the most common biting animal. 79% of the bites were provoked. Turmeric powder was the most commonly used irritant. Most bites belonged to Category III (84%). Category I, II, III bites were managed appropriately according to WHO guidelines.Conclusions: Knowing the burden, socio-demographic characteristics and the management of animal bite victims in the dedicated ARC of HIMS has helped the programme officer in implementing the National Rabies Control Programme in Hassan district.

scholarly journals A study on safe injection practices among healthcare professionals in a tertiary care hospital in Delhi

2019 ◽  
Vol 6 (2) ◽  
pp. 721
Author(s):  
Rajneesh Mohan Siwan ◽  
Jayanta K. Das ◽  
Sanjay Gupta
Keyword(s):  
Healthcare Professionals ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Near Miss ◽  
Primary Data ◽  
Post Exposure Prophylaxis ◽  
Care Hospital ◽  
Cross Sectional ◽  
Exposure Prophylaxis ◽  
Injection Practices

Background: As per available estimates, around three billion injections are administered annually in India and out of these, 1.89 billion are being unsafe. The present study was undertaken to observe and assess injection practices among Healthcare Professionals (HCP) in a tertiary care hospital.Methods: This was a cross-sectional, descriptive study conducted among doctors and nurses of purposively selected five departments in a government tertiary care hospital in Delhi. Primary data was collected using Self-administered questionnaire (SAQ) technique for which WHO Tool C Questionnaire was suitably modified, pre-tested and administered to HCP. Number of participants were 250 (131 doctors and 119 nurses). Injection practices were also observed in HCP and a total of 126 observations (60 in doctors & 66 in nurses) were made. Collected data was analyzed using Microsoft Excel & SPSS.Results: Though overall injection practices of the HCP were satisfactory but unsafe practices with respect to use of unclean surface for injection preparation (35%), not maintaining proper hand hygiene (33%) and not segregating bio medical waste at source by (22.3%) HCP were observed.Conclusions: Though compliance to best international injection practices in many areas were observed still unsafe practices were observed. Guidelines on Injection safety, Post Exposure Prophylaxis (PEP), judicious use of injections and reporting of adverse events/ sentinel events/near miss events to be prepared by the hospital at the earliest. It must be ensured that these guidelines are complied with by the HCP.

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