Compliance of anti-rabies vaccine among dog bite victims in an urban slum of Chennai: a cross sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20181222Keywords:
Rabies, Anti-rabies clinic, Compliance to anti-rabies vaccineAbstract
Background: Among infectious disease, rabies has the highest case fatality rate. The major problem of rabies is attributable to its dog-mediated transmission which is an impending threat to more than 3.3 billion people. Poor compliance of vaccine increases the mortality rate due to rabies. The present study attempts to ascertain pattern of dog bite and compliance to post exposure prophylaxis.
Methods: This cross sectional study was carried out in Primary Health Centre in an urban slum of Chennai in Tamil Nadu. The study included 301 dog bite victims residing in urban slum with wound categories II & III (as per WHO). A pretested, semi-structured questionnaire was used for data collection. Data was analysed with SPSS-IBM (version 21.0). Chi-square test was applied.
Results: Mean (SD) age of study participants was 28 (±16.3) years. Males were 176 (58.5%) and females were 125 (41.5%). Among the bites, pet dog bites were 140 (46.5%), and stray dog bites were 161 (53.5%). Majority of the bites 161 (53.5%) were unprovoked, category II bites were 216 (28.2%).Compliance up to 3 dose was found in 213(70.8%). Association was found between site of the dog bite and compliance of anti- rabies vaccine (p=0.021).
Conclusions: Despite the availability of costless vaccines in public health care system, the compliance rate is only moderate. Health education about the vaccination after dog bite needs to be imparted among the community to reduce the rabies related mortality rate.
References
Expert Consultation on Rabies, Weltgesundheitsorganisation, editors. WHO Expert Consultation on Rabies: second report ; [Geneva from 18 to 20 September 2012]. Geneva: WHO; 2013: 139.
Shankaraiah R, Rajashekar R, Veena V, Hanumanthaiah AN. Compliance to anti-rabies vaccination in post-exposure prophylaxis. Indian J Public Health. 2015;59(1):58.
Domple V, Doibale M, Sonkar V, Aswar N, Khadilkar H, Jain S. Treatment compliance of self-reported dog bite cases attending outpatient department of Tertiary Care Hospital, Maharashtra. Int J Med Public Health. 2015;5(4):297.
Ranganathan AK. Socio-demographic characteristics affecting compliance to intra dermal rabies vaccination at anti rabies clinic in a government tertiary care hospital in Karnataka. J Evol Med Dental Sci. 2013;2(37):7090-5.
Malkar V, Joge U. A study of compliance of animal bite victims to 4 dose intradermal schedule of anti-rabies vaccine and factors affecting it. Int J Community Med Public Health. 2015;2(2):156.
Bharathy S, Gunaseelan L. A Cross Sectional Study to Understanding Demographics of Dog Bite Victims Attending Anti Rabies Ward in Chennai City, Tamil Nadu India. Adv Anim Vet Sci. 2017;5(2):78–82.
Seenivasan P, Caroline Priya K, Vijayalakshmi M, Saravanakumar P, Jegatheesh SK. Anti-rabies vaccination coverage among patients attending outpatient department in a Tertiary care hospital in Tamil Nadu. Int J Med Appl Sci. 2014;3(1):253–60.
Trivedi R, Kumar S, Saxena M, Niranjan A, Kumar M. Epidemiological trends and practices of animal bite victims presenting to the OPD, district & medical college hospital, India. Int J Health Sci Res. 2015;5(12):14–20.
Jain M, Prakash R, Garg K, Jain R, Choudhary M. Epidemiology of animal bite cases attending anti-rabies clinic of a Tertiary Care Centre in Southern Rajasthan. J Res Med Dent Sci. 2015;3(1):79.
Trivedi R, Kumar S, Saxena M, Niranjan A, Kumar M. Epidemiological trends and practices of animal bite victims presenting to the OPD, district & medical college hospital, India. Int J Health Sci Res. 2015;5(12):14–20.
Patel S, Toppo M, Lodha R. An epidemiological study of animal bite cases in a tertiary care center of Bhopal city: A cross-sectional study. Int J Med Sci Public Health. 2017;6(3):1.
Marathe N, Kumar S. Epidemiological study of animal bite victims in Central India: a cross sectional institutional study. Int J Community Med Public Health. 2016;78–82.
Ghosh A, Pal R. Profile of dog bite cases in an urban area of Kolkata, India. Natl J Community Med. 2014;5(3):321–4.
Anandraj R, Balu PS. Compliance to anti rabies vaccine and animal bite management practices in a rural area of Davangere, Karnataka, India. Int J Community Med Public Health. 2016;170-3.
Seenivasan P, Caroline Priya K, Vijayalakshmi M, Saravanakumar P, Jegatheesh SK. Anti-rabies vaccination coverage among patients attending outpatient department in a Tertiary care hospital in Tamil Nadu. Int J Med Appl Sci. 2014;3(1):253–60.
Chinnaian S. Taboos Related to Dog Bite in an Urban Area of Kancheepuram District of Tamil Nadu, India. J Clin Diagn Res. 2015;9(7):11-4.
