Title: Anti Rabies Vaccination compliance: A longitudinal study amongst patients attending Anti Rabies Vaccination OPD in a tertiary care hospital
Authors: Dr Nikhil Nishant, Dr Lalit Sankhe, Dr Chhaya Rajguru
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.43
Abstract
Background: Rabies is a 100% fatal disease affecting all mammals. Dog is the main reservoir and is a major socioeconomic and public health problem. About 59,000 people die annually due to this disease. It affects all and India is no exception, being a classic example of neglected tropical disease. Though effective vaccines are available and prevention is possible by post exposure prophylaxis (PEP), India still lags behind in achieving rabies free society. This is due to poor compliance and lack of awareness in the society. Though fatal the disease is also 100% preventable.
Objectives: The purpose of this article is to see the compliance rate among the population and study the profile of the patient and animals.
Methods: A follow up longitudinal study was done at Anti-Rabies Vaccination Out Patient Department (ARV OPD) of a Tertiary Care Hospital among patients attending ARV OPD for animal bites from 1st March to 31st October 2015. A detailed patient history was taken and compliance rate was determined based on the ARV register.
Result: All together 1769 patients were followed up. The compliance rate is just above the half-way-mark (55.2%) with dog involved in majority of the cases. Maximum were Cat II patients (76.1%) with the maximum drop out for the 4th dose.
Conclusion: There is dire need to increase the compliance rate and awareness among the general population. Non compliance is an economic burden on the government treasury and puts society at risk.
Keywords: Anti Rabies Vaccination, Compliance, Animal Bites, Post exposure prophylaxis
References
- Sambo M, Lembo T, Cleaveland S, Ferguson HM, Sikana L, Simon C, et al. Knowledge , Attitudes and Practices ( KAP) about Rabies Prevention and Control : A Community Survey in Tanzania. PLoS Negl Trop Dis. 2014;8(12).
- National Guidelines on Rabies Prophy-laxis, National Centre for Disease Control, DGHS, MOHFW Govt of India, 2013.
- Rangari VD, Patnaik B. Post exposure prophylaxis against rabies with anti-rabies vaccine by intra-dermal route in India : research review MIMER Medical College,
- World Health Organization. Weekly epidemiological record [Internet]. 2017. Available from: http://www.who.int/wer
- Aggarwal S, Chaugule R, Haralkar S, Aswar NR, Khandare K, Kumavat AP. A Cross Sectional Study- Intradermal Versus Intramuscular Anti Rabies Prophylaxis. J Res Med Dent Sci. 2015;3(1):31–4.
- Kabeta T, Deresa B, Tigre W, Ward MP, Mor SM. Knowledge, Attitudes and Practices of Animal Bite Victims Attending an Anti-rabies Health Center in Jimma Town, Ethiopia. PLoS Negl Trop Dis. 2015;1–14.
- Domple VK, Doibale MK, Sonkar VK, Aswar NR, Khadilkar HA, Jain SR. Treatment compliance of self-reported dog bite cases attending outpatient department of Tertiary Care Hospital , Maharashtra. Int J Med Public Heal. 2015;5(4):297–300.
- Shankaraiah RH, Rajashekar RA, Veena V, Hanumanthaiah AND. Compliance to Anti-rabies Vaccination in Post-exposure Prophylaxis. Indian J Public Health. 2015;59(1):58–60.
- Sahu KK, Manar MK, Singh SK, Singh H. Epidemiological Charecteristics of Patients Attending for Rabies Post- Exposure Prophylaxis at the Infectious Diseases Hospital of Lucknow, India. J Glob Infect Dis. 2015;7(1):30–2.
- Anandaraj 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 Heal. 2016;3(1):170–3.
- Seenivasan P, Caroline PK, Vijayalakshmi M, Saravanakumar P, Jegatheesh S. 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.