EPIDEMIOLOGICAL MAPPING OF DOG BITE CASES REPORTING TO ANTI-RABIES VACCINATION OUT-PATIENT UNIT OF A TERTIARY CARE HOSPITAL

Dog bite is a global issue and endemic to especially African and Asian countries, where due to lack of awareness dogs (both domestic and wild) are either un-vaccinated or unneutered. The higher authorities seems to be least bothered concerning the increasing number of stray dog in these countries. Although lot of planning is done, no proper execution of these strategies are observed. The other issue is the negligent attitude of people towards wound management. The objective of this study is to assess the knowledge, attitude and practice of dog bite patients and their attendants visiting Jinnah Post-graduate Medical Centre, a tertiary care hospital in Karachi. The structured questionnaires were got filled via interview from both the patient and their attendant at the time they visited the dog bite clinic in the hospital. The results of the study revealed in appropriate and irresponsible attitude on both the part of patients and the concerned authorities responsible for is management. This research work was an endeavor to do the gap analysis in order to ensure practical implementation to overcome the endemic of dog bite and rabies.

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Patterns and Outcomes of dog bite injuries presenting to emergency department in a tertiary care hospital at Karachi

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.3.3464 ◽

2021 ◽

Vol 37 (3) ◽

Author(s):

Muhammad Ikram Ali ◽

Seemin Jamali ◽

Tehreem Ashraf ◽

Nasibullah Ahmed

Keyword(s):

Emergency Department ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Sampling Technique ◽

Lower Limbs ◽

Care Hospital ◽

Dog Bite ◽

Cross Sectional ◽

Adult Age ◽

Bite Injuries

Objectives: To assess patterns & outcomes of dog bite injuries coming to a public sector tertiary care hospital in Karachi, Pakistan. Methods: This was a one-year descriptive cross sectional study from 1st June 2018- 31st May 2019 using consecutive sampling technique. Data of 7512 patients was collected from animal-bite clinic of a tertiary care hospital. Inclusion criteria was animal bite cases that were reported during the dates 1st June 2018 to 31st May 2019, Incomplete records were excluded. Data comprising of time of bite, the location of the victim at the time of bite within the city, animal responsible for the bite, gender and age of victim, date of presentation, site and category of bite (as per WHO criteria) was recorded by the primary investigator. The study was conducted at Jinnah Post-Graduate Medical Centre. Results: Among 7512 participants 85.8% were males, 32.2% victims reported time of bite between morning and noon, 78.8% of bites involved lower limbs. 51.6% of the bites belonged to category 2. Stray dog bites were observed in 90.3% of cases. Outcome showed 54.9% completed their vaccination, while 44.3% did not show for complete follow up, 3.99% bites were grievous & 0.03% reported with developed rabies. Conclusion: Research reveals Males belonging to adult age group were most vulnerable, most bites were inflicted in early hours, most common animal inflicting the bites were stray dogs. Many victims did not complete their vaccination from the same centre. Peak of the summer was associated with a decline in number of incidents. doi: https://doi.org/10.12669/pjms.37.3.3464 How to cite this:Ali MI, Jamali S, Ashraf T, Ahmed N. Patterns and Outcomes of dog bite injuries presenting to emergency department in a tertiary care hospital at Karachi. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3464 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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