An analysis of animal bite cases attending anti-rabies clinic attached to tertiary care centre, Bikaner, Rajasthan, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20162070Keywords:
Rabies, Animal bite, Category II, Category IIIAbstract
Background: Rabies is a widespread, neglected and under reported zoonosis with an almost 100% case fatality rate in human untreated on time, and causes a significant social and economic burden. Objective: Analysis of animal bite cases attending Anti-rabies clinic attached to Prince Bijay Singh Memorial (PBM) hospital, Bikaner, Rajasthan.
Methods: The study was conducted amongst patient who attended the Anti-rabies clinic attached to PBM hospital Bikaner for management of their Category II and III injuries caused by bites by various animals, during the 3 year period.
Results: Amongst 10916 victims who attended 8335 (76.36%) were males and rest females (male: female ratio 3.2:1). 5796 (53.10%) patients belonged to rural area and 5120 (46.90%) were from urban area. The bite injuries involved different site. Bite of Lower limb accounted for the most 4980 cases (45.62%) then were those of upper limb. Distribution of patients according to different age groups showed preponderance in the 0-10 year’s age group 2768 (25.35%) patients, 2266 (20.07%) were in the 11-20 years age group. The most common biting animal was stray dog (76.33%). Month wise distribution showed highest incidence during January 11.11%, and the least cases reported in the month of September 5.81%.
Conclusions: India is amongst those countries reporting highest number of deaths due to rabies and also is amongst those countries where most people receive post exposure prophylaxis but true number is still lacking because of absence of well-organized surveillance system. Epidemiological studies like present study may help assess the true magnitude of problem.
References
Recommendation of the Organisation for Animal Health. Global Conference on Rabies Control: Towards Sustainable Prevention at the Source.7-9 September, 2011. Available at: http://www.oie.int/fileadmin/Home/eng/Conferences_Events/docs/pdf/recommendations/A_Recommendation_Global%20Rabies%20Conference%20Seoul_final.pdf.
Krebs JW, Wilson ML, Childs JE. Rabies: epidemiology, prevention, and future research. Journal of Mammalogy.1995;76(3):681-94.
Sudarshan MK, Mahendra BJ, Madhusudana SN, Ashwoath Narayana DH, Rahman A, Rao NS et al. An epidemiological study of animal bites in India: results of a WHO sponsored national multi-centric rabies survey. J Commun Dis. 2006;38(1):32-9.
Shetty RA, Chaturvedi S, Singh Z. Profile of animal bite cases in Pune. J Commun Dis. 2005;37(1):66-72.
Salve H, Kumar S, Sa R, Rai SK, Kant S, Pandav CS. Feasibility of sustainable provision of intradermal post exposure prophylaxis against rabies at primary care level-evidence from rural Haryana. BMC Health Serv Res. 2014;14:278.
Below poverty line (India). http.//en.wikepedia.org.
Sudarshan MK, Mahendra BJ, Narayan DH. A community survey of dog bites, anti-rabies treatment, rabies and dog population management in Bangalore city. J Commun Dis. 2001;33(4):245-51.
Shah V, Bala DV, Thakker J, Dalal A, Shah U, Chauhan S et al. Epidemiological determinants of animal bite cases attending the anti- rabies clinic at V S General Hospital, Ahmedabad. Indian J Community Med. 2012;3(1):66-8.
Ichhpujani RL, Mala C, Veena M, Singh J, Bhardwaj M, Bhattacharya D et al. Epidemiology of animal bites and rabies cases in India. A multicentric study. J Commun Dis. 2008;40(1):27-36.
Behera TR, Satapathy DM, Tripathy RM, Sahu A. Profile of animal bite cases attending the ARC of MKCG Medical College. APCRI Journal. 2008;IX(2):20-5.
Goel S, Gupta H, Mazta SR. Epidemiological profile of Bite Cases Admitted at a 50 bedded Community Health Centre of Himachal Pradesh, India. The Internet Journal of Health. 2008:7.
Hanspal JS, Bhandari D, Nagar S. A review of attendance trend of animal bite cases inthe anti rabies clinic of GGS Hospital, Jamnagar (Gujarat). APCRI Journal. 2007;8:16-8.
Singh J, Jain DC, Bhatia R, Ichhpujani RL, Harit AK, Panda RC, et al. Epidemiological characteristics of rabies in Delhi and surrounding areas, 1998. Indian Pediatrics. 2001;38:1354-60.
Haque MS, Yeasmin T, Islam MM. Epidemiological characteristics of human rabies at Infectious Disease Hospital, Dhaka. Bangladesh J Child Health. 2011;35:102-7.
Buzgan T, Irmak H, Yılmaz GR, Torunoğlu MA, Safran A. Epidemiology of human rabies in Turkey, 1992-2007. Turk J Med Sci. 2009;39:591-7.
Menezes R. Rabies in India. CMAJ. 2008;178:564-6.
Weiss HB, Friedman DI, Coben JH. Incidence of dog bite injuries treated in emergency departments. JAMA. 1998;279(1):51-3.
Monory A, Behar P, Nagy M. Head and neck dog bites in children. Otolaryngol Head Neck Surg. 2009;140:354-7.
Masthi NRR, Narayana DHA, Kulkarni P, Gangaboraiah, Belludi A. Epidemiology and prevention of animal bite and human rabies in a rural community-One health experiment. Asian Pac J Trop Dis. 2014;4:S486-S490.
Bata SI, Dzikwi AA, Ayika DG. Retrospective study of dog bite cases reported to ECWA veterinary clinic, Bukuru, PlateauState, Nigeria. Sci World J. 2011;6:17-9.
