Assessment of Judicious Use of Immunologicals in Post Exposure Prophylaxis of Animal Bite Cases by Medical Officers in Government Health Centers in an Urban Area of Southern Rajasthan
Journal Title: Healthline - Year 2016, Vol 7, Issue 1
Abstract
Rabies is a hundred percent fatal disease with no cure being found till date. Only prompt reporting by the patient and correct prophylactic measures applied by the treating doctor can save a precious life in time. In Rajasthan, under Mukhyamantri Nihshulk Dawa Yojna (MNDY), medicines including anti rabies vaccines and immunoglobulin are dispensed free of cost at all government health centers hence cases of animal bite are first reported to the nearest government health center, the medical officers posted there should be able to give timely and appropriate Post Exposure Prophylaxis ( PEP) . Assessment of Knowledge and practice of the government medical officers regarding management of animal bite cases will help to know whether the resources are utilized properly. Objectives: To assess the Knowledge and practice of the medical officers regarding management of animal bite cases in the government health centers in urban Udaipur, identify any gaps there in and recommend rectification measures for the same. Method: cross sectional qualitative study was carried out on 44 Medical Officers posted at 17 government urban health centers in Udaipur urban area. A semi structured pre tested questionnaire was the tool. The data was analyzed on SPSS16 version. Results: Only 68.2% respondents were aware of all modes of transmission of Rabies. WHO wound categorization was known to 54.6% only. 34.1% and 52.3% respondents, respectively did unnecessary prescription of Anti Rabies Vaccines for category I and Immunoglobulin for Category II wounds. WHO guidelines for wound washing, was followed by 11.4% only. Only 25% respondents were following Essen regimen of vaccination correctly and were injecting the vaccine on deltoid. 75% were following the guidelines on vaccination for delayed reporting. Defaulters were managed correctly by 20.6% only. Conclusions: Respondents’ knowledge about mode of transmission of Rabies, WHO wound classification and correct protocol of management of the animal bite wounds was less than adequate and it lead to improper wound care and inadequate vaccination and was adversely affecting the utilization of government resources.
Authors and Affiliations
Rupa Sharma , Subhash Yadav , Pratap Kaushik
Keywords
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