Epidemiology of Animal Bites with Special Reference to Post-exposure Prophylaxis of Rabies in and Around Malda, West Bengal: A Hospital-based Study
Journal Title: International Journal of Current Research and Review - Year 2017, Vol 9, Issue 10
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
Authors and Affiliations
Dr. Arindam Karmakar
Keywords
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- EP ID EP609698
- DOI 10.7324/IJCRR.2017.9104
- Views 154
- Downloads 0
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