An epidemiological study of domiciliary practices and health seeking behaviour among animal bite patients attending a hospital in Delhi

一项关于德里某医院动物咬伤患者居家习惯和就医行为的流行病学研究

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Abstract

BACKGROUND AND OBJECTIVES: Rabies, although a 100% fatal disease, is preventable with appropriate post-exposure prophylaxis. A hospital-based cross-sectional study was conducted among 360 animal bite patients in the anti-rabies clinic (ARC) of Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi (VMMC & SJH). METHODS: A predesigned, pretested, structured questionnaire was administered by interview technique to assess the sociodemographic profile, health-seeking behavior, and the various domiciliary practices adopted by the animal bite patients. RESULTS: Out of 360 study participants (348; 96.7%) visited a health facility (government/private) after an animal-bite incident. Of the 241 study participants who washed their wounds, 131 (54.4%) had washed the wound using soap and water and 216 (89.6%) had washed the wound for less than 5 min. Chili paste (128; 35.6%) was the most commonly used household remedy. INTERPRETATION AND CONCLUSIONS: It was observed that a considerable segment of the study population approached health care facilities for vaccination following animal bite but did not practice the correct wound-washing practices immediately after the incident, and a sizeable proportion of the study participants resorted to non-allopathic practices (e.g., chili paste) as a measure of first aid to manage animal bite wounds. No association was found between the sociodemographic determinants and domiciliary practices and health-seeking behavior (P > 0.05). As rabies is a preventable disease, increasing awareness pertaining to its prevention may prove to be beneficial in reducing the morbidity and mortality.

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