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VOLUME 2 , ISSUE 4 ( 2017 ) > List of Articles

ORIGINAL ARTICLE

A Cross-sectional Study on Awareness regarding Animal Bite Wound Management and Rabies Immunization among Students of a School of Nursing in a City of India

Hari S Joshi, Arun Singh, Deepak Upadhyay, Sudeepti Panat

Keywords : Animal bite wound, Awareness, Immunization, Knowledge, Nursing students, Rabies

Citation Information : Joshi HS, Singh A, Upadhyay D, Panat S. A Cross-sectional Study on Awareness regarding Animal Bite Wound Management and Rabies Immunization among Students of a School of Nursing in a City of India. Int J Adv Integ Med Sci 2017; 2 (4):193-197.

DOI: 10.5005/jp-journals-10050-10105

License: CC BY-SA 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Introduction Human rabies continues to be endemic in India. Rabies is a zoonotic disease transmitted by animal bites, mainly dogs. It is invariably fatal if proper treatment is not instituted promptly. One of the important factors associated with successful treatment is the knowledge of the nursing staff regarding the proper management of animal bites and rabies vaccination. Objectives To assess the awareness of the nursing students of Rohilkhand School of Nursing regarding animal bite wound management and pre- and postexposure prophylaxis of rabies. Materials and methods Study Area: Rohilkhand School of Nursing, Bareilly, Uttar Pradesh, India. Study Design: Cross-sectional study. Study Duration: January 2017 to February 2017. Study Population: Students of Rohilkhand School of Nursing, Bareilly, Uttar Pradesh, India. Sample Size: 100. Study Tool: Questionnaire was distributed to the nursing students for collecting the data. Results A total of 100 nursing students were studied, out of which 85% were females and 15% were males. It was observed that the majority of participants (80%) were aware regarding the immediate treatment of animal bite wound. Knowledge of the study participants regarding site of intramuscular (IM) vaccine administration in infants was found to be poor, i.e., only 31% of participants were aware regarding the correct site of IM vaccination in infants. It was also found that only 9% of participants were aware of the incurability of rabies after clinical onset, 72% were aware about the noncurable nature of rabies, and 72% were aware about the preventable nature of rabies. Knowledge of participants regarding rabies immunization showed that only 46% of participants were aware about the recommended regimen for IM vaccine administration for postexposure prophylaxis and 32% regarding the route of administration of antirabies vaccine (ARV) in pregnancy. About 94% of participants were aware about the tetanus toxoid (TT) vaccine administration postanimal bite. Conclusions and recommendations There is an apparent lack of knowledge among study participants regarding rabies and its immunization. Hence, there is a need for generating awareness regarding rabies and its immunization. The nursing students should be sensitized so that their knowledge can be converted into appropriate practices when they will be posted in hospitals as nursing staff. How to cite this article Panat S, Singh A, Joshi HS, Upadhyay D. A Cross-sectional Study on Awareness regarding Animal Bite Wound Management and Rabies Immunization among Students of a School of Nursing in a City of India. Int J Adv Integ Med Sci 2017;2(4):193-197.

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  1. Sheetal V, Kinnari G, Gneyaa B, Hemant T. Animal bite management practices: study at three municipal corporation hospitals of Ahmedabad. National J Community Med 2010;1(2):75-78.
  2. Chowdhury R, Mukherjee A, Naskar S, Lahiri SK. A study on knowledge of animal bite management and rabies immunization among interns of government medical college in Kolkata. Int J Med Public Health 2013 Jan;3(1):17-20.
  3. Wang ZX. WHO position on rabies vaccine. Int J Biol 2002;25:245-248.
  4. WHO. Weekly epidemiological record, No. 32, Aug 6, 2010.
  5. Singh US, Choudhary SK. Knowledge, attitude, behaviour and practice study on dog bites and its management in the context of prevention of rabies in a rural community of Gujarat. Indian J Community Med 2005 Aug;30(3):81-83.
  6. WHO. Techn Rep Ser No. 709, 1984.
  7. Molyneux ME. The Animal Experiments for Local Wound Treatment. Medicine Digest 1985;11(4):5, London.
  8. Kishore S, Singh R, Ravi SK. Knowledge, attitude and practice Assessment in health workers regarding Rabies disease and its prevention in district Dehradun of Uttarakhand. Indian J Comm Health 2015 Sep;27(2):381-385.
  9. Chopra D, Jauhari N, Dhungana H, Nasrah. Assessment of awareness about rabies and the animal bite among the staff nurses in a medical institute in Lucknow. Int J Community Med Public Health 2017 Jun;4(6):2046-2051.
  10. Roche AF. Aural exotoses in Australian aboriginal skulls. Ann Otol Rhinol Laryngol 1964 Mar;73:82-91.
  11. Dorsey GA. Wormian bones in artificially deformed Kwakiutl crania. Am Anthropol 1897 Jun;10(6):169-173.
  12. Chambellan, M. Etude Anatomique et Anthropologique sur les Os Wormiens. Thesis, Paris. [Cited by Dorsey, 1897]. 1883.
  13. Russel F, Studies in Cranial Variation, Am Nat 1900;34:737-747.
  14. Wood-Jones F. The non-metrical morphological characters of the skull as criteria for racial diagnosis. IV. J Anat 1933-1934 Oct;68(Pt 1):96-108.
  15. Pirwany IR, Fleming R, Greer IA, Packard CJ, Sattar N. Lipids and lipoprotein subfractions in women with PCOS: relationship to metabolic and endocrine parameters. Clin Endocrinol (Oxf) 2001 Apr;54(4):447-453.
  16. Karabulut AB, Cakmak M, Kiran RT, Sahin I. Oxidative stress status, metabolic profile and cardiovascular risk factors in patients with polycystic ovary syndrome. Med Sci 2012 Jan;1(1):27-34.
  17. Dalton M, Cameron AJ, Zimmet PZ, Shaw JE, Jolley D, Dunstan DW, Welborn TA, AusDiab Steering Committee. Waist circumference, waist-hip ratio and body mass index and their correlation with cardiovascular disease risk factors in Australian adults. J Intern Med 2003 Dec;254(6):555-563.
  18. Chan DC, Watts GF. LDL heterogeneity revisited: lesson for the metabolic syndrome from a new interpopulation study? Eur J Clin Invest 2004 Nov;34(11):719-722.
  19. Diamanti-Kandarakis E, Papavassiliou AG, Kandarakis SA, Chrousos P. Pathophysiology and types of dyslipidemia in PCOS. Trends Endocrinol Metab 2007 Sep;18(7):280-285.
  20. Brunzell JD, Davidson M, Furberg CD. Lipoprotein management in patients with cardio metabolic risk: consensus conference report from the American Diabetes Association and the American College of Cardiology Foundation. J Am Coll Cardiol 2008 Apr;51(4):1512-1524.
  21. Nordestgaard BG, Langsted A, Freiberg JJ. Nonfasting hyperlipidemia and cardiovascular disease. Curr Drug Targets 2009 Apr;10(4):54-61.
  22. Peters AL. Clinical relevance of non-HDL cholesterol in patients with diabetes. Clin Diabetes 2008 Jan;26(1):3-7.
  23. Vaughan N, James K, McDermott D, Griest S, Fausti S. A 5-year prospective study of diabetes and hearing loss in a veteran population. Otol Neurotol 2006 Jan;27(1):37-43.
  24. Tosi A, Misciali C, Piraccini B, Peluso AM, Bardazzi F. Drug-induced hair loss and hair growth. Incidence, management and avoidance. Drug Saf 1994 Apr;10(4):310-317.
  25. Bronner AK, Hood AF. Cutaneous complication of chemotherapeutic agents. J Am Acad Dermatol 1983 Nov;9(5):645-663.
  26. Hood AF. Cutaneous side effects of cancer chemotherapy. Med Clin North Am 1986 Jan;70(1):187-209.
  27. Boyle DM, Engelking C. Vesicant extravasation: myths and realities. Oncol Nurs Forum 1995 Jan-Feb;22(1):57-67.
  28. Malkinson, FD. Radiobiology of the skin. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB, editors. Fitzpatrick's dermatology in general medicine. 5th edn. New York: McGraw-Hill; 1999. pp. 1514-1523.
  29. Goldschmidt H, Breneman JC, Bareneman DL. Ionizing radiation therapy in dermatology. J Am Acad Dermatol 1994 Feb;30(2 Pt 1):157-182.
  30. Narkiewicz K, van de Borne P, Montano N, Hering D, Kara T, Somers VK. Sympathetic neural outflow and chemoreflex sensitivity are related to spontaneous breathing rate in normal men. Hypertension 2006;47(1):51-55.
  31. Agte VV, Chiplonkar SA. Sudarshan kriya yoga for improving antioxidant status and reducing anxiety in adults. Altern Complement Ther 2008;14(2):96-100.
  32. Jacobs GD. Clinical applications of the relaxation response and mind-body interventions. J Altern Complement Med 2001;7(Suppl 1):S93-S101.
  33. Singh N, Telles S. Heart rate variability and state anxiety in hypertensives and diabetes after one week of yoga. J Indian Psychol 2009;27(1-2):13-20.
  34. Williams B, Poulter NR, Brown MJ, Davis M, McInnes GT, Potter JF, Sever PS, McG Thom S; British Hypertension Society. Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, 2004—BHS IV. J Hum Hypertens 2004 Mar;18(3):139-185.
  35. Rabi DM, Daskalopoulou SS, Padwal RS, Khan NA, Grover SA, Hackam DG, Myers MG, McKay DW, Quinn RR, Hemmelgarn BR, et al. The 2011 Canadian Hypertension Education Program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy. Can J Cardiol 2011 Jul-Aug;27(4):415-433.e1-2.
  36. Wahlgren NG, MacMahon DG, De Keyser JF, Indredavik B, Ryman T. Intravenous Nimodipine West European Stroke Trial (INWEST) of nimodipine in the treatment of acute ischaemic stroke. Cerebrovasc Dis 1994 May;4(3):204-10.
  37. Kaste M, Fogelholm R, Erilä T, Palomäki H, Murros K, Rissanen A, Sarna S. A randomized, double-blind, placebo-controlled trial of nimodipine in acute ischemic hemispheric stroke. Stroke 1994 Jul;25(7):1348-1353.
  38. Schrader J, Lüders S, Kulschewski A, Berger J, Zidek W, Treib J, Einhaupl K, Diener HC, Dominiak P; Acute Candesartan Cilexetil Therapy in Stroke Survivors Study Group. The ACCESS study: evaluation of Acute Candesartan Cilexetil Therapy in Stroke Survivors. Stroke 2003 Jul;34(7):1699-1703.
  39. Sandset EC, Bath PM, Boysen G, Jatuzis D, Kõrv J, Lüders S, Murray GD, Richter PS, Roine RO, Terént A, et al. The angiotensin-receptor blocker candesartan for treatment of acute stroke (SCAST): a randomised, placebo-controlled, double-blind trial. Lancet 2011 Feb;377(9767):741-750.
  40. Potter JF, Robinson TG, Ford GA, Mistri A, James M, Chernova J, Jagger C. Controlling hypertension and hypotension immediately post-stroke (CHHIPS): a randomised, placebo-controlled, double-blind pilot trial. Lancet Neurol 2009 Jan;8(1):48-56.
  41. Robinson TG, Potter JF, Ford GA, Bulpitt CJ, Chernova J, Jagger C, James MA, Knight J, Markus HS, Mistri AK, et al. Effects of antihypertensive treatment after acute stroke in the Continue or Stop Post-Stroke Antihypertensives Collaborative Study (COSSACS): a prospective, randomised, open, blinded-endpoint trial. Lancet Neurol 2010 Aug;9(8):767-775.
  42. Jauch EC, Saver JL, Adams HP, Bruno A, Demaerschalk BM, Khatri P, McMullan PW, Qureshi AI, Rosenfield K, Scott PA, et al. Guidelines for the early management of patients with acute ischemic stroke. Stroke 2013 Mar;44(3):870-947.
  43. Ahmed N, Wahlgren N, Brainin M, Castillo J, Ford GA, Kaste M, Lees KR, Toni D; SITS Investigators. Relationship of blood pressure, antihypertensive therapy, and outcome in ischemic stroke treated with intravenous thrombolysis. Stroke 2009 Jul;40(7):2442-2449.
  44. Karachalios GN, Charalabopoulos A, Papalimneou V, Kiortsis D, Dimicco P, Kostoula OK, Charalabopoulos K. Withdrawal syndrome following cessation of antihypertensive drug therapy. Int J Clin Pract 2005 May;59(5):562-570.
  45. PROGRESS Collaborative Group. Randomised trial of a perindopril-based blood-pressure-lowering regimen among 6,105 individuals with previous stroke or transient ischaemic attack. Lancet 2001 Sep;358(9287):1033-1041.
  46. Schrader J, Lüders S, Kulschewski A, Hammersen F, Plate K, Berger J, Zidek W, Dominiak P, Diener HC; MOSES Study Group. Morbidity and mortality after stroke, eprosartan compared with nitrendipine for secondary prevention. Stroke 2005 Jun;36(6):1218-1226.
  47. Yusuf S, Diener HC, Sacco RL, Cotton D, Ôunpuu S, Lawton WA, Palesch Y, Martin RH, Albers GW, Bath P, et al. Telmisartan to prevent recurrent stroke and cardiovascular events. N Engl J Med 2008 Sep;359(12):1225-1237.
  48. Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, Fang MC, Fisher M, Furie KL, Heck DV, et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke 2014 Jan:45(7):2160-2236.
  49. Robb AO, Mills NL, Din JN, Smith IB, Paterson F, Newby DE, Denison FC. Influence of the menstrual cycle, pregnancy, and preeclampsia on arterial stiffness. Hypertension 2009 Jun;53(6):952-958.
  50. Avni B, Frenkel G, Shahar L, Golik A, Sherman D, Dishy V. Aortic stiffness in normal and hypertensive pregnancy. Blood Press 2010 Feb;19(1):11-15.
  51. Khalil A, Akolekar R, Syngelaki A, Elkhouli M, Nicolaides KH. Maternal hemodynamics at 11–13 weeks’ gestation and risk of pre-eclampsia. Ultrasound Obstet Gynecol 2012 Jul;40(1):28-34.
  52. Medical Research Council trial of treatment of hypertension in older adults: principal results. MRC Working Party. BMJ 1992 Feb;304(6824):405-412.
  53. Dahlof B, Devereux RB, Kjeldsen SE, Julius S, Beevers G, Faire U, Fyhrquist F, Ibsen H, Kristiansson K, Lederballe-Pedersen O, et al. Cardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol. Lancet 2002 Mar;359(9311):995-1003.
  54. Dahlof B, Sever PS, Poulter NR, Wedel H, Beevers DG, Caulfield M, Collins R, Kjeldsen SE, Kristinsson A, McInnes GT, et al. Prevention of cardiovascular events with an antihypertensive regimen of amlodipine adding perindopril as required versus atenolol adding bendroflumethiazide as required, in the Anglo-Scandinavian Cardiac Outcomes Trials-Blood Pressure Lowering Arm (ASCOT-BPLA): a multicentre randomised controlled trial. Lancet 2005 Sep;366(9489):895-906.
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