Factors associated with delay in initiating postexposure prophylaxis for rabies prevention in a district of Madhya Pradesh, India: 2023

Résumé fourni par la source

Introduction: India reports more than 9 million animal bite cases and 5000 deaths due to rabies every year, which postexposure prophylactic vaccines can prevent. Delayed vaccination can be fatal. We assessed the causes of the delay in initiating postexposure prophylaxis (PEP) in the Shivpuri district of Madhya Pradesh, India. Methodolgy: < 0.05 was taken as significance. Results: A total of 422 animal-bite cases were interviewed; males were 289 (68%), rural residents were 293 (69%), and those aged 10-19 years were 100 (24%). Dogs caused 394 (93%) of bites, affecting lower limbs 220 (52%). Treatment delay occurred in 157 (37%) of cases. Factors were closed facilities due to holidays or delay in reaching, 56 (36%); work-related, 51 (32%); treatment unawareness, 38 (24%); lack of accompaniment, 22 (14%); and financial, 21 (13%). Delays were significantly higher among rural residents, those living >10 km from facilities, and cases with income <₹10,000/month. Conclusions: We recommend awareness campaigns in rural areas regarding rabies and extending timings of healthcare facilities.

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