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BRIEF RESEARCH ARTICLE
Year : 2020  |  Volume : 64  |  Issue : 1  |  Page : 72-74

Re-exposure animal bite management among incident animal bite cases in a secondary care Hospital in Delhi, India


1 Senior Resident, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
2 Postgraduate Resident, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
3 Director Professor, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
4 Consultant, Department of Medicine, Maharishi Valmiki Hospital, New Delhi, India

Correspondence Address:
Warisha Mariam
Department of Community Medicine, Maulana Azad Medical College, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.IJPH_37_19

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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.


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