International Journal of Research in Medical Sciences | October-December 2014 | Vol 2 | Issue 4 Page 1347
International Journal of Research in Medical Sciences
Kumar D et al. Int J Res Med Sci. 2014 Nov;2(4):1347-1349
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Research Article
Knowledge assessment about risk prevention of
rabies amongst doctors in AIIMS, Jodhpur
Dewesh Kumar*, Pankaja Ravi Raghav, Mahendra Singh, Pankaj Bhardwaj
INTRODUCTION
Rabies still continues to be a major public health problem
in India contributing around 36% of deaths due to Rabies
worldwide.
1-3
There are various mammals who carry the
rabies virus but dogs are the source of 99% of human
infection.
4
Most animal bites in India are by dogs
accounting for around 91.5% which are very commonly
found in homes as pets and on streets and abandoned
places as stray dogs.
5
As its case fatality rate is 100%,
any carelessness in its post exposure prophylaxis may
result in death of the patient.
6
Considering its fatality, any
animal bite should be dealt with utmost care. So, it
becomes imperative that the health care professionals
have appropriate knowledge about the animal bites and
risk prevention of Rabies and be better equipped to tackle
this menace more efficiently. Although the general
practitioners and primary care physicians are the most
commonly the first line management providers but
animal bites are so common and encountering these
patients either in hospital, home or at any leisure place
may not be uncommon for health care professionals of
any speciality. In view of absence of anti-rabies clinic in
All India Institute of Medical Sciences (AIIMS), Jodhpur
and patients thronging hospitals round the clock, it is
prudent to have the knowledge of Rabies and its
preventive measures so that appropriate advice can be
provided to the patients. This study was intended to
assess the knowledge of doctors of AIIMS, Jodhpur
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
Department of Community and Family Medicine, AIIMS, Jodhpur-342005, Rajasthan, India
Received: 18 July 2014
Accepted: 10 August 2014
*Correspondence:
Dr. Dewesh Kumar,
E-mail: dr.dewesh@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.5455/2320-6012.ijrms20141119