Patterns of Animal Bites for Patients Bitten by Animals Reporting at Public Hospitals / Health Centres for Post Exposure Prophylaxis in Serengeti District, Mara, Tanzania.

Kilabuli, Faustine CUHAS/BP/3000198/T/14

Patterns of Animal Bites for Patients Bitten by Animals Reporting at Public Hospitals / Health Centres for Post Exposure Prophylaxis in Serengeti District, Mara, Tanzania. - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2018 - xi; 19 Pages Includes References

Abstract:

Introduction: Animals are the most common reservoir of rabies virus (e.g. dog, foxes and hyenas). It is mostly transmitted from the saliva of rabid animals into a wound like scratches, or by direct exposure of mucosal surfaces to saliva from an infected animal. Management of rabies includes washing of the wound, active immunization with anti-rabies, passive immunization with anti-rabies immunoglobulin and tetanus toxoid vaccine.

Methodology: A retrospective cross-sectional study was done in public health centres and hospital in Serengeti district for animal bite patient’s systematic random sampling was done to include 153 patients. Data analysed using statistical package for social sciences version 20.0.

Results: Males were the most bitten by animals in comparison to females, i.e. about 54.2% of the participants were bitten by animals were males and about 45.8%. Moreover, patients aged <21 years were the leading group attacked by animals and contributed to 68.0% of the participants. Only 20.9% completed the required 3 doses of anti-rabies vaccine, 55.5% did not complete the follow up of the 3 dosage for anti-rabies, 75% of the victims of animals bites received tetanus toxoid vaccine, while 69.7% received other antibiotics. Most of the patients reported from April to June 38.6%.

Conclusion: Most of the patients do not complete the follow up for anti-rabies vaccine doses, as a high number of patients only end up with first dose of the anti-rabies vaccine. This revealed poor adherence of the patients to anti-rabies.

Recommendation: Health care providers should advice patients to complete follow up doses in cases animal bites. Improvement of methods for rabies diagnosis rather than using local methods which involve restraining the animals for 10 days. Vaccination for domesticated animals like cats and dogs is very important.


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