Animal bite and shortage in rabies post-exposure prophylaxis

Global Veterinary Microbiology and Veterinary Medicine Summit

October 17-18, 2016 Chicago, USA

Ibrahim Babaee, Jalal Poorolajal, Reza Yoosefi and Fariba Farnoosh

Hamadan University of Medical Sciences, Iran
Shahid Beheshti University of Medical Sciences, Iran

Posters & Accepted Abstracts: J Veterinar Sci Techno

Abstract :

Background: Rabies post-exposure prophylaxis (PEP) is an effective measure if administered immediately. We evaluated the primary health care provided after animal bite and determined the shortages of rabies PEP. Methods: This 6-year population-based survey was conducted in Tehran, the capital city of Iran, from April 2006 to March 2012. The study population included people who had referred to health centers of Tehran, seeking for PEP. The data were extracted from rabies registry databases using a checklist of items according to the context of the health records. Results: Of 22,766 cases of animal bite, 84.51% were men, 31.93% aged 21-30 years and 66.27% lived in urban areas. Most cases were the result of a dog bite (81.71%), mostly at midday (29.87%) and more frequently in spring (27.87%) and summer (27.74). Legs (45.62%) and hands (43.36%) were the most common the sites of animal bite. The PEP was associated with a variety of shortcomings as follows. A majority of cases who had indication of receiving five doses of vaccine had received only three doses. Most of the cases with a wound in the head and neck and many of cases with deep wounds had not received immunoglobulin. A number of cases needed to receive vaccination doses of 1 ml but had received doses of 0.5 ml. Conclusions: According to our results, rabies PEP is loosely monitored and the preventive measures are associated with some defects that need to be taken into consideration by public health authorities to ensure that rabies surveillance is efficient.

Biography :

Email: ebrahim_babaee@yahoo.com