Pre-treatment practices among patients attending an Animal Bite Management clinic at a primary health centre in Haryana, North India

Salve, Harshal Ramesh; Rizwan, S A; Kant, Shashi; Sanjay, K; Kharya, Pradip; Kumar, Sanjeev

doi:10.1177/0049475514562492

Cited by 9 publications

(13 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the current study, we found that more than four-fifths of animal bite victims applied no or inappropriate wound treatment, and similar findings have been reported in other national and international research [19, 34, 35]. Our analysis revealed that, most (66.6%) respondents could have an access to the RPC within 30 minutes, and nearly all victims (96.8%) could visit the RPC within 90 minutes.…”

Section: Discussionsupporting

confidence: 89%

“…Mucheru [51] reported that people with adequate rabies knowledge were more likely to perform proper health seeking practices (OR = 3.0, 95% CI = 1.4–6.8). The general public should be made aware of vaccination programs, timely PEP and proper wound treatment [35, 52]. Therefore, it is of utmost importance that public awareness is raised about the timely administration of proper PEP [53], which is in line with the theme of the year 2016 World Rabies Day “Educate, Vaccinate, Eliminate”.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Improper wound treatment and delay of rabies post-exposure prophylaxis of animal bite victims in China: Prevalence and determinants

et al. 2017

View full text Add to dashboard Cite

BackgroundRabies is invariably a fatal disease. Appropriate wound treatment and prompt rabies post-exposure prophylaxis (PEP) are of great importance to rabies prevention. The objective of this study was to investigate the prevalence and influencing factors of improper wound treatment and delay of rabies PEP after an animal bite in Wuhan, China.MethodologyThis cross-sectional study was conducted among animal bite victims visiting rabies prevention clinics (RPCs). We selected respondents by a multistage sampling technique. A face-to-face interview was conducted to investigate whether the wound was treated properly and the time disparity between injury and attendance to the RPCs. Determinants of improper wound treatment and delay of rabies PEP were identified by a stepwise multivariate logistic regression analysis.Principal findingsIn total, 1,015 animal bite victims (564 women and 451 men) responded to the questionnaire, and the response rate was 93.98%. Overall, 81.2% of animal bite victims treated their wounds improperly after suspected rabies exposure, and 35.3% of animal bite victims delayed the initiation of PEP. Males (OR = 1.871, 95% CI: 1.318–2.656), residents without college education (OR = 1.698, 95% CI: 1.203–2.396), participants liking to play with animals (OR = 1.554, 95% CI: 1.089–2.216), and people who knew the fatality of rabies (OR = 1.577, 95% CI: 1.096–2.270), were more likely to treat wounds improperly after an animal bite. Patients aged 15–44 years (OR = 2.324, 95% CI: 1.457–3.707), who were bitten or scratched by a domestic animal (OR = 1.696, 95% CI: 1.103–2.608) and people who knew the incubation period of rabies (OR = 1.844, 95% CI: 1.279–2.659) were inclined to delay the initiation of PEP.ConclusionsOur investigation shows that improper wound treatment and delayed PEP is common among animal bite victims, although RPCs is in close proximity and PEP is affordable. The lack of knowledge and poor awareness might be the main reason for improper PEP. Educational programs and awareness raising campaigns should be a priority to prevent rabies, especially targeting males, the less educated and those aged 15–44 years.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Improper wound treatment and delay of rabies post-exposure prophylaxis of animal bite victims in China: Prevalence and determinants

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Similar findings were reported in the studies by Wadde et al, Salve et al and Dhaduk et al in which 71.39%, 70.4% and 75% of the study participants were males respectively. 9,10,11 Majority of the study participants were males in all these studies which might be due to the reason that males have increased outdoor activity, mobility and hence have increased risk of exposure to bite. In the present study, majority of the study participants (90.8%) were Hindus while (9.2%) were Muslims.…”

Section: Discussionmentioning

confidence: 99%

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

Panda¹,

Kapoor²,

Ramesh³

2020

Int J Community Med Public Health

View full text Add to dashboard Cite

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.

show abstract

“…[ 19 ] Traditional methods lead to delay in seeking proper medical management of the dog bite wound. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of dog bites in rural and urban slums of Delhi: A community-based study

Sharma

Agarwal

Khan

et al. 2016

Ann Med Health Sci Res

View full text Add to dashboard Cite

Background:Rabies is a fatal disease of the central nervous system caused by the bites of warm-blooded animals. One of the important methods of controlling rabies is by interventions to limit the number of dog bites, the most common source of transmission of rabies to humans in the community. Community-based data on dog bites are rare from India.Aim:The aim of this study is to determine the prevalence of dog bites and knowledge and practices relating to its management and prevention in an urban and a rural slum of North West Delhi, India.Subjects and Methods:A cross-sectional house to house survey of 500 households covering a population of 2887 individuals was conducted. The families were selected by systematic random sampling. A pretested and a prevalidated questionnaire was used. Chi-square test was applied for comparing proportions related to the categorical variables and t-test was used for comparing means.Results:The dog bite incidence rate for the study population for the last year was 25.2/1000 population with higher rates in urban (30.1/1000) than rural (19.6/1000) slum. Two-fifths of the dog bite patients did not wash the wound with soap and water. The practice of washing the wound with soap and water was significantly higher in urban than rural slum. One-fifth of the patients did not receive anti-rabies vaccine. There was lower coverage in rural than urban slum. A majority (79.0%) of the patients did not receive anti-rabies serum.Conclusion:A high prevalence of dog bites coupled with poor knowledge and dog bite management practices is a worrisome trend which policy makers should take into account to make India rabies free.

show abstract

Pre-treatment practices among patients attending an Animal Bite Management clinic at a primary health centre in Haryana, North India

Cited by 9 publications

References 7 publications

Improper wound treatment and delay of rabies post-exposure prophylaxis of animal bite victims in China: Prevalence and determinants

Improper wound treatment and delay of rabies post-exposure prophylaxis of animal bite victims in China: Prevalence and determinants

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

Prevalence of dog bites in rural and urban slums of Delhi: A community-based study

Contact Info

Product

Resources

About