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How familiar are our doctors towards Rabies prophylaxis- A study from coastal south India
PLOS Neglected Tropical Diseases ( IF 3.8 ) Pub Date : 2017-10-30 , DOI: 10.1371/journal.pntd.0006032
Ramesh Holla 1 , Bhagawan Darshan 1 , Astha Guliani 2 , Bhaskaran Unnikrishnan 1 , Rekha Thapar 1 , Prasanna Mithra 1 , Nithin Kumar 1 , Vaman Kulkarni 1 , Avinash Kumar 1 , Salman Anwar 2
Affiliation  

Background

Rabies, a 100% fatal disease claims more than 59,000 human lives every year globally. One human life is lost every 15 minutes due to this deadly preventable disease. Timely initiation of post exposure prophylaxis following an animal exposure can result in 100% preventability of this fatal disease.

Methodology

This facility based study was conducted among clinical fraternities of teaching hospitals. A semi structured questionnaire was used for collection of data. Institutional Ethics Committee approval was sought. The study investigators visited the workplace of the participants and distributed the questionnaire. SPSS Ver 16 (Chicago, IL, USA) was used to analyse the data.

Findings

Most of the participants knew that veterinary groups and zoo-keepers should be given pre-exposure prophylaxis. Many participants knew about the Intra Muscular schedule of anti-rabies vaccine and its site of administration for pre exposure prophylaxis. It was observed that most participants had knowledge regarding correct intramuscular regimen of anti-rabies vaccine for post-exposure prophylaxis but less than half were able to differentiate between the intramuscular and intradermal regimens. Less than half of participants were aware of the fact that local administration of anti-rabies serum is useful.

Conclusion

The knowledge regarding WHO categorisation of animal exposure and recommended post exposure prophylaxis according to type of exposure observed to be minimal among clinical fraternity.



中文翻译:

我们的医生对狂犬病预防有多熟悉——来自印度南部沿海地区的一项研究

背景

狂犬病是一种 100% 致命的疾病,全球每年夺去超过 59,000 人的生命。由于这种可预防的致命疾病,每 15 分钟就有一人丧生。在动物接触后及时开始接触后预防可以使这种致命疾病 100% 预防。

方法

这项基于设施的研究是在教学医院的临床联谊会中进行的。使用半结构化问卷来收集数据。已寻求机构道德委员会的批准。研究人员走访了参与者的工作场所并分发了调查问卷。使用 SPSS Ver 16(美国伊利诺伊州芝加哥)分析数据。

发现

大多数参与者都知道兽医团体和动物园饲养员应该接受暴露前预防。许多参与者了解抗狂犬病疫苗的肌肉注射时间表及其暴露前预防的给药部位。据观察,大多数参与者都了解用于暴露后预防的抗狂犬病疫苗的正确肌肉注射方案,但只有不到一半的人能够区分肌肉注射和皮内注射方案。不到一半的参与者意识到局部施用抗狂犬病血清是有用的。

结论

临床界对世界卫生组织对动物接触的分类以及根据接触类型推荐的接触后预防的了解很少。

更新日期:2017-10-31
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