IJCRR - Vol 09 issue 10 current issue , May, 2017
Pages: 19-22
Epidemiology of Animal Bites with Special Reference to Post-exposure Prophylaxis of Rabies in and Around Malda, West Bengal: A Hospital-based Study
Author: Arindam Karmakar, Aishwarya Bhattacharya
Category: General Sciences
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Abstract:
Background: Bites from stray dogs are the reason of rabies infection in India most of the time, whereas bite of several other animals such as cats, monkeys, jackals and wolves may cause rabies. People of poor socio-economic class are the majority of victims. Lack of knowledge regarding primary wound management and requirement of post-exposure prophylaxis prevails in a large part of our country.
Objectives:
1. To assess the epidemiological profile of animal bite victims.
2. To assess the adherence to the present post – exposure prophylaxis protocol.
3. To assess the present practice and knowledge regarding treatment of animal bites.
Materials and Methods: Total 100 animal bite victims attending the Rabies vaccination clinic at Malda Medical College and Hospital, Malda, West Bengal were interviewed using a pre-tested questionnaire format.
Results: Majority of the victims were from lower income group (58%). 62% were male. The biting animal was mostly dog (82%). 69% patients were bitten on lower extremities; 61% having grade III exposure, the rest being grade II exposures.
Only 21% of the victims took proper care of the wound; whereas, a considerable number (20%) took no care of the wound at all.
All the patients were administered anti-rabies vaccine but only one patient with grade III exposure was administered rabies immunoglobulin. The victims showed inadequate knowledge regarding primary wound management.
Conclusion: Lack of awareness and motivation were significant reasons for poor wound-care and failure to adhere to the post-exposure prophylaxis schedule apart from great distance from the vaccination clinic and unavailability of rabies immunoglobulin
Keywords: Animal bite, Malda, Post-exposure prophylaxis, Rabies
Citation:
Arindam Karmakar, Aishwarya Bhattacharya. Epidemiology of Animal Bites with Special Reference to Post-exposure Prophylaxis of Rabies in and Around Malda, West Bengal: A Hospital-based Study International Journal of Current Research and Review. Vol 09 issue 10 current issue , May, 19-22
References:
1. Sudarshan M, Madhusudana S, Mahendra B, Rao N, Ashwath Narayana D, Abdul Rahman S, et al. Assessing Burden of Rabies in India. Report of a WHO Sponsored National Multi-Centric Rabies Survey. International Journal of Infectious Diseases 2007;11:29-35.
2. Sudarshan M, Mahendra B, Madhusudana S, Ashwath Narayana D, Rahman A, Rao S, et al. An Epidemiological Study of Animal Bites in India: Results of a WHO Sponsored National Multi-Centric Rabies Survey. J. Commun. Dis. 2006;38(1):32-39.
3. Ichhpujani R, Mala C, Veena M, Singh J, Bhardwaj M, Bhattacharya D, et al. Epidemiology of animal bites and rabies cases in India. A multicentric study. The Journal of Communicable Diseases 2008 March;40(1):27-36.
4. Agarwal N, Reddajah V. Epidemiology of dog bites: a community-based study in India. Tropical Doctor 2004;34(2):76-78.
5. Shetty R, Chaturvedi S, Singh Z. Profile of animal bite cases in Pune. The Journal of Communicable Diseases 2005 March;37(1):66-72.
6. Eng T, Fishbein D, Talamante H, Hall D, Chavez G, Dobbins Jea. Urban epizootic of rabies in Mexico:epidemiology and impact of animal bite injuries. Bulletin of the World Health Organization 1993;71(5):615-24.
7. Cleaveland S, Fe`vre EM, Kaare M, Coleman PG. Estimating human rabies mortality in the United Republic of Tanzania from dog bite injuries. Bulletin of the World Health Organization 2002;80(4):304-10.
8. Ichhpujani R, Chhabra M, Mittal V, Bhattacharya D, Singh J, Lal S. Knowledge, attitude and practices about animal bites and rabies in general community--a multi-centric study. The Journal of Communicable Diseases 2006 December;38(4):355-61.
9. Mondal T, Ray Karmakar P. Care of animal bite victim in Community and in health care facility in a rural area of West Bengal. IOSR Journal of Dental and Medical Sciences 2016 Jan;15(1, version IV):01-04.
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