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Re-exposure animal bite management among incident animal bite cases in a secondary care Hospital in Delhi, India
- Source :
- Indian Journal of Public Health, Vol 64, Iss 1, Pp 72-74 (2020)
- Publication Year :
- 2020
- Publisher :
- Wolters Kluwer Medknow Publications, 2020.
-
Abstract
- Complete postexposure prophylaxis with 4 doses of anti-rabies vaccine (ARV) in a previously vaccinated (nonnaïve) individual results in administration of two extra ARV doses resulting in wastages of precious resources comprising vaccine logistics, human resources, physician, and patient time. This cross-sectional study conducted in a secondary care hospital in Delhi among 175 incident animal bite cases observed 39 (22.3%) had an animal-bite history within the previous 5 years. A total of 19 (10.8%) cases reported a history of complete ARV vaccination during a previous animal-bite exposure. However, in the absence of supportive patient medical documentation, all the animal bite cases without exception were prescribed a full course of ARV irrespective of their previous exposure status. Rabies immunoglobulins (anti rabies serum) were also re-administered in 13 (81.2%) cases. National guidelines for rabies prophylaxis should, therefore, consider the inclusion of an explicit decision-making algorithmic mechanism when the health-care provider is confronted with this situation carrying the potential for hidden vaccine wastage.
Details
- Language :
- English
- ISSN :
- 0019557X
- Volume :
- 64
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Indian Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.0f16afdbb844d092a11bbdf7f966a5
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/ijph.IJPH_37_19