Knowledge assessment about risk prevention of rabies amongst doctors in AIIMS, Jodhpur

Dewesh Kumar, Pankaja Ravi Raghav, Mahendra Singh, Pankaj Bhardwaj

Abstract


Background:Rabies still continues to be a public health problem in India and to protect our citizens from this menace; medical professionals have to be well equipped to tackle it more efficiently. The paper aims to assess the knowledge of residents and faculty in newly established AIIMS regarding risk prevention of rabies.

Methods:A cross sectional study using a structured questionnaire on rabies was done at AIIMS Jodhpur amongst the doctors and the data was compiled in Microsoft excel 2010 were further analysed using SPSS version 21.  

Results:Out of the total sixty respondents, faculty constituted 38.3%, and junior residents and senior residents 28.3% and 33.3% respectively. Nearly 72% responded correctly regarding post exposure prophylaxis (PEP) i.e. 5 dose regimen of intramuscular administration of Anti Rabies Vaccine (ARV) and 56.7% doctors were unaware about the current recommendation of intradermal (ID) route. Rabies immunoglobulin (RIG) or Anti-Rabies Serum (ARS) against Rabies infection used in Class III bites was known to only 45% of the total doctors.

Conclusion:The study reveals that there is a scope of improvement in important areas related to the knowledge of doctors in AIIMS regarding animal bites which needs to be upgraded time to time through continuing medical education in order to follow the standard protocol and guidelines at the apex institute.

 


Keywords


Rabies, ARV, Categories of wounds, PEP

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References


Sugiyama M, Ito N. Control of rabies: epidemiology of rabies in Asia and development of new generation vaccines for rabies. Comp Immunol Microbiol Infect Dis. 2007;30:273-86.

Burki T. The global fight against rabies. Lancet. 2008;372:1135-6.

Bhatia R, Narain JP. The challenge of emerging zoonoses in Asia Pacific. Asia Pac J Public Health. 2010;4:388-94.

Park K. Rabies. In: Park K, eds. Text Book of Preventive and Social Medicine. 22nd ed. Jabalpur: Banarsidas Bhanot Publishers; 2011: 250-257.

Sudarshan MK. Assessing burden of rabies in India. WHO sponsored national multi-centric rabies survey (May 2004). Assoc Prev Control Rabies India J. 2004;6:44-5.

WHO. Rabies vaccines position paper. WHO Wkly Epidemiol Rec. 2010;85(32):309-20.

Garg A, Kumar R, Ingle GK. Knowledge and practices regarding animal bite management and rabies prophylaxis among doctors in Delhi, India. Asia Pac J Public Health. 2013;25(1):41-7.

Bhalla S, Mehta JP, Singh A. Knowledge and practice among general practitioners of Jamnagar city regarding animal bite. Indian J Community Med. 2005;30:94-6.

Sudarshan MK. A study of anti-rabies treatment practice by private medical practitioners in Banglore city. Indian J Prev Soc Med. 1995;26:45-8.

Chowdhury R, Mukherjee A, Naskar S, Lahiri SK. A study on knowledge of animal bite management and rabies immunization among interns of a government medical college in Kolkata. Int J Med Public Health. 2013;3:17-20.

Sarkar A, Bhavsar S, Bundela C, Gohel A, Makwana N, Parmar D. An assessment of knowledge of prevention and management of Rabies in interns and final year students of Shri M. P. Shah government medical college, Jamnagar, Gujarat. J Res Med Den Sci. 2013;1(2):62-6.

World Health Organization. WHO expert consultation on rabies. In: WHO, eds. WHO Technical Report Series No. 931. Geneva, Switzerland: WHO; 2005: 2-121.