Surendran Jithin, Hs Ravish, Kumari Nitu, M Prasanth Ramya, Fotedar Nidhi
Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, 560002, India.
F1000Res. 2024 Mar 11;13:175. doi: 10.12688/f1000research.145673.1. eCollection 2024.
Rabies is 100% preventable by administering early and complete post exposure prophylaxis (PEP). Animal bite victims must have the knowledge and attitude necessary to seek appropriate medical care at the earliest to receive the required PEP.
The present study sought to ascertain the health-seeking behavior of animal bite victims, their knowledge and attitude regarding rabies prophylaxis, the PEP they received, and their level of compliance with the full course of anti-rabies vaccination.
The study included animal bite cases that presented to the anti-rabies clinic and matched the eligibility criteria. All the required details were recorded using an internally validated structured questionnaire. All participants were followed up for six months to ensure their health conditions and compliance with the vaccination schedule.
Out of 1058 respondents, 57.9% were adults, with 46.6% belonging to middle socioeconomic class. 91.1% of them were informed biting animals as dogs. Before arriving at the anti-rabies clinic, 93.3% of the study subjects washed their wounds, and 62.4% visited to another health facility. Rabies knowledge was inadequate among the study participants, only 54.8% being mindful about the disease and its prevention. The compliance with the full course of antirabies vaccination was found to be 77.9%. All subjects were healthy, confirming that PEP is safe and effective.
Regular social and behavioral change communication (SBCC) needs to be implemented with regard to health-seeking behavior.
通过尽早并完整地进行暴露后预防（PEP），狂犬病是100%可预防的。动物咬伤受害者必须具备尽早寻求适当医疗护理以接受所需PEP的必要知识和态度。
本研究旨在确定动物咬伤受害者的就医行为、他们对狂犬病预防的知识和态度、他们接受的PEP以及他们对全程抗狂犬病疫苗接种的依从程度。
该研究纳入了到抗狂犬病诊所就诊且符合入选标准的动物咬伤病例。所有所需细节均使用内部验证的结构化问卷进行记录。对所有参与者进行了为期六个月的随访，以确保他们的健康状况和对疫苗接种计划的依从性。
在1058名受访者中，57.9%为成年人，其中46.6%属于中等社会经济阶层。他们中91.1%被告知咬人的动物是狗。在到达抗狂犬病诊所之前，93.3%的研究对象清洗了伤口，62.4%的人去了另一家医疗机构。研究参与者对狂犬病的知识不足，只有54.8%的人了解这种疾病及其预防方法。发现全程抗狂犬病疫苗接种的依从率为77.9%。所有受试者均健康，证实PEP是安全有效的。
需要就就医行为定期开展社会和行为改变沟通（SBCC）。
