Hospital Based Cross Sectional Study: Distribution of Compliance for completion of ARV 4 dose among study participants
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Author:
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SHIVASAKTHIMANI R, RAVIVARMAN G
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Abstract:
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In infectious disease, Rabies has the highest case fatality rate. The major burden of rabies is attributable to dogmediated
transmission
rabies.
Globally
26,400
–
61,000
deaths
occur
due
to
rabies
annually
and
among
them
95%
of
which are due to dog bite. In India 20,000 deaths occurs due to rabies in human and dog bites are the most
common cause for the same. This high surge in this particular disease is thoroughly attributed to this reason of lack
of awareness among commoners about wound management of dog bites and mainly due to lack of compliance to
vaccination schedule by them. This work focuses to study the pattern of dog bites ,dog bite management practices,
compliance of anti-rabies vaccine regimen and existing taboos practiced in relation to dog bite. A Cross sectional
study was carried out in Primary Health Center, Semmancherry an urban slum .It included patients attending antirabies
clinic
with
the
sample
size
301.A
pretested,
semi
structured
questionnaire
was
used
for
data
collection.
Chi
-
square
test
and
Independent
T-
test
was
used.
The
overall
compliance
of
anti
-
rabies
vaccine
in
study
population
was
70.5%.
The
major
constraints
for
compliance
were
41.4%
loss
of
wages.
Only
half
of
the
participants
washed
the
wound with soup and water but only 5% washed the bite site with soap and water applied antiseptic. The
overall score of the management practices of dog bite was found to be 2.71 ± 1.00. 83.4 % of the study participants
followed some food restriction after dog bite. Only half of the participants followed right management practices.
Compliance of ARV in our study was moderate. Many cultural practices and taboos were prevalent. Health
education and behaviour change communication need to be implemented.
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Keyword:
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World Health Organization, Intramuscular Anti- Rabies Vaccine, Idrv - Intradermal Anti- Rabies Vaccine, Anti-Rabies Vaccine, Rabies Immunoglobulin, Primary Health Center
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EOI:
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DOI:
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