A retrospective analysis of adverse events in the elderly in a tertiary referral center in Mumbai ( Bombay ), India

Rupawala, Abbas; Kshirsagar, Nilima A; Gogtay, Nithya J

doi:10.4103/0019-5359.53161

Cited by 8 publications

(5 citation statements)

References 31 publications

(35 reference statements)

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“…Monkey was the second most common animal responsible for the bite (7.2%) in our study. The finding of this study was similar to studies conducted by Gujalwar et al ,[ 5 ] Sudarshan et al ,[ 3 ] Trivedi et al ,[ 6 ] Meshram et al ,[ 7 ] Krishna et al ,[ 8 ] Gogtay et al ,[ 9 ] and Parmar et al . [ 10 ] where the most common animal was also dog.…”

Section: Discussionsupporting

confidence: 91%

“…[ 10 ] in Burdwan, Gogtay et al . [ 9 ] in Mumbai, and Sharma et al . [ 19 ] in Pune reported relatively lower rate of wound washing with soap and water of 40%, 30.8%, and 23.5%, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…[ 21 ] (6.1%) from Kolkata, Gogtay et al . [ 9 ] (2.7%) from Mumbai, and Sahu et al . [ 22 ] (2.1%) from Lucknow reported very poor use of life-saving rabies immunoglobulin in category III cases.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological profile and management practices of animal bite cases in a tertiary care hospital of Haryana: A cross-sectional study

Vinay

Sachdeva

Kumar

et al. 2022

J Family Med Prim Care

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A BSTRACT Introduction: Rabies is one of the oldest and deadliest diseases known to man. After the clinical occurrence of rabies, there is no comprehensive treatment possible. However, the development of rabies can be prevented to a large extent if animal bites are managed appropriately and in time. The post-exposure treatment of animal bite cases is of prime importance in this regard. India has the highest burden of animal bite and rabies cases in the world. This imposes a substantial burden on the healthcare delivery services of the country. Materials and Methods: This was a cross-sectional study conducted in the immunization clinic of a tertiary care hospital in Haryana from January 2018 to December 2018. A total of 614 cases were interviewed using a pre-designed, pre-tested, and semi-structured interview schedule. Results: Around 80.5% of the bites were inflicted by stray animals, among which 70% of cases were by stray dogs. Precisely, 97.7% of cases took anti-rabies vaccine and 96.6% of cases took Tetanus Toxoid. 204 (33.2%) of victims were category III cases, who needed local infiltration of immunoglobulin but only 46% of them got it. The association of time lag between bite and reporting to the first health facility with socio-economic status, residence, and education was found to be statistically significant. Conclusion: To conclude it was observed that proper wound management practices were lacking in the people of the study area and there is a need to strengthen the availability of provision of free-of-cost life-saving immunoglobulin at the health facility, under the rabies control program.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Epidemiological profile and management practices of animal bite cases in a tertiary care hospital of Haryana: A cross-sectional study

Vinay

Sachdeva

Kumar

et al. 2022

J Family Med Prim Care

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“… 19 As per a study in India, only 2.7% of 783 patients with category III bites were prescribed HRIG, and only 10 could afford to receive it. 20 Also, as per other studies, only 2% and 3%, of patients with category III exposures receive any RIG in India and Thailand, respectively. 21 , 22 …”

Section: Introductionmentioning

confidence: 61%

Active safety surveillance of rabies monoclonal antibody and rabies vaccine in patients with category III potential rabies exposure

Kang,

Lakhkar,

Bhamare

et al. 2023

The Lancet Regional Health - Southeast Asia

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“…16 In Ethiopia, a delay of more than 24 hours was observed in 47% of the cases and in two different studies conducted in India, a delay of more than 48 hours was reported in 59% and 9.04% of the cases. 17 - 20 The difference in the level of access to rabies treatment centers and the level of awareness and attitude of people in different communities can justify these differences. Moreover, the difference in the definition of the delay is another reason.…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic Aspects of Animal Bite, Rabies, and Predictors of Delay in Post-exposure Prophylaxis: A National Registry-based Study in Iran

et al. 2023

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Background: The increasing trend in animal bites and rabies in recent years makes the disease a public health concern in Iran. The objectives of the current study were to investigate the epidemiologic aspects of the animal bite and determine the associated risk factors of the delay in initiation of post-exposure prophylaxis (PEP) against rabies in Iran. Study Design: National registry-based cross-sectional study. Methods: This study included all registered cases of animal bites between March 2021 and March 2022 at the Ministry of Health and Medical Education in Iran. We retrieved epidemiologic data on person, time, place, and PEP outcome. Results: A total of 260470 animal bite cases (approximately 334 per 100000 populations, and 11 deaths) were registered during the study period. About 77.2% of them were reported in males, 4.3% in children aged less than 5 years, 56.4% occurred in urban areas, 98% in domestic animals, and mostly in north and northeast areas of Iran. Additionally, 2.8% of cases had a delay of more than 48 hours in the initiation of PEP. Significant determinants of the increase in delay were female gender (OR=1.43, 95% CI: 1.36, 1.51, P<0.001), foreign nationality (OR=1.19, 95% CI: 1.01, 1.12, P=0.001), rural residence (OR=1.07, 95% CI: 1.01, 1.12, P=0.010), and the wild animals (OR=1.22, 95% CI: 1.12, 1.34, P<0.001). Conclusion: The observed frequency of animal bites in a year indicates a serious public health concern and the need for targeted interventions, especially in at-risk areas and vulnerable populations.

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A retrospective analysis of adverse events in the elderly in a tertiary referral center in Mumbai ( Bombay ), India

Cited by 8 publications

References 31 publications

Epidemiological profile and management practices of animal bite cases in a tertiary care hospital of Haryana: A cross-sectional study

Epidemiological profile and management practices of animal bite cases in a tertiary care hospital of Haryana: A cross-sectional study

Active safety surveillance of rabies monoclonal antibody and rabies vaccine in patients with category III potential rabies exposure

Epidemiologic Aspects of Animal Bite, Rabies, and Predictors of Delay in Post-exposure Prophylaxis: A National Registry-based Study in Iran

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