A retrospective epidemiological study of delay for updated Thai red cross intradermal anti-rabies vaccination schedule amongst animal bite cases attending ARV clinic at a tertiary care centre

Amol R. Patil, Mukesh S. Bawa, Mangesh B. Shirpurkar, Murlidhar P. Tambe

Abstract


Background: Rabies is an acute viral disease, which causes encephalomyelitis in virtually all the warm blooded animals, including man. Almost 20000 deaths occur in India. The present study conducted with objective to analyze the delays and compliance for anti-rabies vaccination as per schedule and its some factors among the animal bite cases.

Methods: Retrospective cross sectional record based study of cases attended Anti-Rabies Vaccination (ARV) clinic during the period of April 2012 to March 2013. The data extracted from records included socio-demographic variables, animal bite history treatment received and completion of ARV schedule. Data entered and analyzed using SPSS 21.

Results: Total of 3548 animal bite cases attended the ARV clinic. Out of these cases, 18.2 %, 20.3% and 14.2% of cases not reported on scheduled date for 2nd, 3rd & 4th dose of ARV respectively. Only 34.3% of cases completed the schedule. Delay for receiving ARV among women, cases from rural area & class II animal bite was statistically significant.

Conclusions: Counselling regarding   follow up of ARV schedule at the time of first visit to the anti-rabies vaccine clinic must be strengthened to avoid poor compliance and delaying of schedule.


Keywords


Animal bite, Intradermal, Anti-rabies vaccine, Delay

Full Text:

PDF

References


Rajesh Vaidya. Rabies. In: Raj Vir Bhalwar, eds. Textbook of Public Health and Community Medicine. 1st ed. Pune in collaboration with WHO India: Community Medicine AFMC; 2009: 1075-1780.

Kishore J. National health programs of India. In: Kishore J, eds. A Health Program. 8th ed. New Delhi: Century Publications; 2009. Reprint 2010.

Satapathy DM, Reddy SSS, Pratap AK, Behera TR, Malini DS, Tripathy RM, et al. “Drop out” cases in IDRV: a cause for concern. APCRI J. 2010;12:40-1.

Sudarshan MK. Rapid consult on rabies prevention. In: Sudarshan MK, eds. A Communication. Gurgaon, India: McMillan Medical Communication; 2010.

Suraweera W, Morris SK, Kumar R, Warrell DA, Warrell MJ, Jha P. Deaths from symptomatically identifiable furious rabies in India: a nationally representative mortality survey. PLoS Negl Trop Dis. 2012;6(10):e1847.

Kumar A, Pal D. Epidemiology of human rabies cases in Kolkata with its application to post prophylaxis. Indian J Animal Res. 2010;44:241-7.

Behera TR, Satapathy DM, Tripathy RM, Sahu A. Profile of animal bite cases attending the ARC of M.K.C.G. medical college, Berhampur (Orissa). APCRI J. 2008;9(2).

Gadekar Rambhau, Dhekale Dilip. Profile of animal bite cases in Nanded district of Maharashtra state, India. Indian J Fundament Appl Life Sci. 2011 July-Sep;1(3):188-93.

Khokhar A, Meena GS, Mehra M. Profile of dog bite cases attending M.C.D. dispensary at Alipur, Delhi. Indian J Community Med. 2003;28(4):157-9.

Park K. Rabies. In: Park K, eds. Park’s Text Book of Preventive and Social Medicine. 20th ed. Jabalpur (India): M/s Banarasidas Bhanot; 2009.

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 Mar;38(1):32-9.

Mahendra BJ, Harish BR, Vinay M. A study of Factors influencing compliance to IDRV at anti-rabies clinic of Mandya institute of medical sciences, Mandya. APCRI J. 2009;11:18-20.

Vinay M, Mahendra BJ, Raghini Ranganathan. Effectiveness of telephone reminders on increasing compliance to intradermal rabies vaccination. Int J Res Dev Health. 2013 Nov;1(4):166-71.

Katie Hampson, Sarah Cleaveland, Deborah Briggs. Evaluation of cost-effective strategies for rabies post-exposure vaccination in low-income countries. PLoS Negl Trop Dis. 2011 Mar;5(3):e982.

National Centre for Disease Control. National guidelines on rabies prophylaxis. In: NCDC, eds. NCDC Guideline. New Delhi: Directorate General of Health Services Ministry of Health and Family Welfare Government of India; 2013.