Indian Journal of Public Health

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


Saurav Basu1, Warisha Mariam2, Sahadev Santra2, Suneela Garg3, Rajiv Singhal4 
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

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.


How to cite this article:
Basu S, Mariam W, Santra S, Garg S, Singhal R. Re-exposure animal bite management among incident animal bite cases in a secondary care Hospital in Delhi, India.Indian J Public Health 2020;64:72-74


How to cite this URL:
Basu S, Mariam W, Santra S, Garg S, Singhal R. Re-exposure animal bite management among incident animal bite cases in a secondary care Hospital in Delhi, India. Indian J Public Health [serial online] 2020 [cited 2021 Sep 22 ];64:72-74
Available from: https://www.ijph.in/article.asp?issn=0019-557X;year=2020;volume=64;issue=1;spage=72;epage=74;aulast=Basu;type=0