A study of compliance of animal bite victims to 4 dose intradermal schedule of anti-rabies vaccine and factors affecting it

Vilas Raghunath Malkar, Umesh Shankarrao Joge

Abstract


Background:Rabies is 100% fatal disease, but it is prevented by use of potent Anti-Rabies Vaccine (ARV). Noncompliance to vaccination schedule is one of the reasons for high number of deaths among animal bite victims. The present study is an attempt to reveal compliance of animal bite victims to 4 dose intradermal (id) schedule of Anti-Rabies Vaccine (ARV) schedule and socio-demographic factors with it.

Methods:This cross sectional study was conducted at ARV centre of government medical college, Akola, Maharashtra state of India, from 1st January 2014 to 31st December 2014. Records of all animal bite victims were studied and data regarding their compliance for completion of vaccination schedule and sociodemographic and animal related factors was analyzed.  

Results:Out of these 3658 victims of animal bite, 1566 (42.81%) completed ARV schedule and remaining 2092 (57.91%) failed in it. Out of those who completed the schedule, 1484 (94.76%) didn’t delayed any dose and rest 82 (5.24%) delayed one or more doses. With respect to the completion to of id ARV schedule, no significant association was observed with gender, age, place of residence and economic status of victims. But significantly higher proportion of category II bite (63.85%) and unprovoked bite (69.44%) patients exhibited poor compliance for adherence of vaccination schedule than that of category III bite (56.42%) and provoked bite (33.16%) patients respectively.

Conclusions:Poor compliance to ARV vaccination, among more than half of animal bite victims, is a serious concern in id schedule.


Keywords


Compliance, ARV, id schedule

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References


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