Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of Haryana
Introduction : Rabies is a fatal but vaccine-preventable viral disease. Animal bite victims who report in primary and secondary level health care lack some measures which can help in protecting and preventing deaths due to rabies. The most important factor for prevention of death due...
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| Format: | Article |
| Language: | English |
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Indian Association of Preventive and Social Medicine
2022-06-01
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| Series: | Healthline |
| Subjects: | |
| Online Access: | http://www.healthlinejournal.org/index_pdf/422.pdf |
| _version_ | 1818015195127087104 |
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| author | Babita Mahavir Singh S K Jha Anita Punia Sanjeet Singh |
| author_facet | Babita Mahavir Singh S K Jha Anita Punia Sanjeet Singh |
| author_sort | Babita |
| collection | DOAJ |
| description | Introduction : Rabies is a fatal but vaccine-preventable viral disease. Animal bite victims who report in
primary and secondary level health care lack some measures which can help in protecting and preventing
deaths due to rabies. The most important factor for prevention of death due to rabies is the timely
administration of post-exposure prophylaxis (PEP) among animal bite victims. Therefore, in addition to an
understanding of the epidemiological distribution of animal bites, it is necessary to explore the factors
leading to delay in PEP initiation. Objective: To determine the determinants of delay in initiation of post
exposure prophylaxis for rabies prevention among animal bite cases attending anti-rabies clinic of a
ruraltertiary care hospital in Sonepat, Haryana. Method: This cross-sectional study was conducted at an
Immunization-cum-antirabies clinic of Bhagat Phool Singh Government Medical Collegefor Women,
Khanpur Kalan, Sonepat, Haryana. A pre tested, structured questionnaire was used to collect information
among 410 participants after taking consent. The Institutional Ethics Committee of institute approved the
study. The groups were compared with Chi-square test for categorical data. Results: Delay was present
among 27.3% of participants. Significant factors of delay were no local wound treatment, any treatment
taken prior to anti-rabies vaccine administration, rabies clinic closed on holidays, unawareness about PEP,
non-availability of accompaniment, transportation issues and money problem for transportation.
Knowledge also played significant role as delay was significantly more among the participants not having
knowledge regarding source of infection, mode of transmission and incubation period of rabies.
Conclusions: Delay ininitiation of PEP was common and were significantly associated with lack of
knowledge and unawareness, closure of rabies clinic on Sundays/holidays, non-availability of
accompaniment and money problem during transportation. |
| first_indexed | 2024-04-14T06:54:48Z |
| format | Article |
| id | doaj.art-f9987afbd3644f429fa8d97474f55181 |
| institution | Directory Open Access Journal |
| issn | 2229-337X 2320-1525 |
| language | English |
| last_indexed | 2024-04-14T06:54:48Z |
| publishDate | 2022-06-01 |
| publisher | Indian Association of Preventive and Social Medicine |
| record_format | Article |
| series | Healthline |
| spelling | doaj.art-f9987afbd3644f429fa8d97474f551812022-12-22T02:06:56ZengIndian Association of Preventive and Social MedicineHealthline2229-337X2320-15252022-06-0113216216810.51957/Healthline_337_2022Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of HaryanaBabita0Mahavir Singh1S K Jha2Anita Punia3Sanjeet Singh4Professor, Department of Community Medicine, BPS Government Medical College for Women, Khanpur Kalan, SonepatProfessor, Department of General Surgery, Pt. B. D. S. PGIMS, RohtakProfessor, Department of Community Medicine, BPS Government Medical College for Women, Khanpur Kalan, SonepatProfessor, Department of Community Medicine, BPS Government Medical College for Women, Khanpur Kalan, SonepatAssociate Professor cum Statistician, Department of Community Medicine, BPS Government Medical College for Women, Khanpur Kalan, SonepatIntroduction : Rabies is a fatal but vaccine-preventable viral disease. Animal bite victims who report in primary and secondary level health care lack some measures which can help in protecting and preventing deaths due to rabies. The most important factor for prevention of death due to rabies is the timely administration of post-exposure prophylaxis (PEP) among animal bite victims. Therefore, in addition to an understanding of the epidemiological distribution of animal bites, it is necessary to explore the factors leading to delay in PEP initiation. Objective: To determine the determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending anti-rabies clinic of a ruraltertiary care hospital in Sonepat, Haryana. Method: This cross-sectional study was conducted at an Immunization-cum-antirabies clinic of Bhagat Phool Singh Government Medical Collegefor Women, Khanpur Kalan, Sonepat, Haryana. A pre tested, structured questionnaire was used to collect information among 410 participants after taking consent. The Institutional Ethics Committee of institute approved the study. The groups were compared with Chi-square test for categorical data. Results: Delay was present among 27.3% of participants. Significant factors of delay were no local wound treatment, any treatment taken prior to anti-rabies vaccine administration, rabies clinic closed on holidays, unawareness about PEP, non-availability of accompaniment, transportation issues and money problem for transportation. Knowledge also played significant role as delay was significantly more among the participants not having knowledge regarding source of infection, mode of transmission and incubation period of rabies. Conclusions: Delay ininitiation of PEP was common and were significantly associated with lack of knowledge and unawareness, closure of rabies clinic on Sundays/holidays, non-availability of accompaniment and money problem during transportation.http://www.healthlinejournal.org/index_pdf/422.pdfdelaypost exposure prophylaxisrabies |
| spellingShingle | Babita Mahavir Singh S K Jha Anita Punia Sanjeet Singh Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of Haryana Healthline delay post exposure prophylaxis rabies |
| title | Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of Haryana |
| title_full | Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of Haryana |
| title_fullStr | Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of Haryana |
| title_full_unstemmed | Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of Haryana |
| title_short | Determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of Haryana |
| title_sort | determinants of delay in initiation of post exposure prophylaxis for rabies prevention among animal bite cases attending a rural tertiary care hospital of haryana |
| topic | delay post exposure prophylaxis rabies |
| url | http://www.healthlinejournal.org/index_pdf/422.pdf |
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