Ehsan Sarbazi; Mohamadreza Sarbazi; Saber Ghaffari-fam; Towhid Babazadeh; Sohrab Heidari; Khadijeh Aghakarimi; Ismail Jamal; Ali Sherini; Javad Babaie; Ghader Darghahi
Volume 8, Issue 4 , October 2020, , Pages 236-242
Abstract
Objectives: The aim of the present study was identifying factors associated with h delayed initiation of post-exposure prophylaxis (PEP) among animal bite victims. Methods:This cross-sectional study assessed biting patterns among 3032 cases that were referred to Tabriz Rabies Center. The delay was described ...
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Objectives: The aim of the present study was identifying factors associated with h delayed initiation of post-exposure prophylaxis (PEP) among animal bite victims. Methods:This cross-sectional study assessed biting patterns among 3032 cases that were referred to Tabriz Rabies Center. The delay was described as the initiation of PEP more than 48 hours (h) after possible exposure to the rabies virus. Determinants of delay in initiating PEP were recognizing by a decision tree model. Results: Totally, 8.5% of the victims who were bitten by an animal had a delay of more than 48 h in the initiation of PEP. The relative frequency of delay more than 48 h in females was higher than the males (12.9% compared to 8.5%) (p-value= 0.004). Relative frequency of delay more of 48 h from carnivorous (dog, jackal, fox) was significantly less than others (p -value< 0.001). Of the decision tree, the overall classification accuracy was 89.5%, with 44.1% sensitivity and 92.3% specificity. The identified variables included gender,biting place (rural, urban), and type of animal. Conclusion: Based on the study findings on various variables that affect the delayed initiation of PEP, particularly being female, and rural residents were the major factors associated with a delay in the initiation of PEP for rabies prevention. We found relatively low rates of vaccine completion. Our findings indicate that provider training and patient education are required to ensure the completion of appropriate treatment.
Salman Khazaei; Manoochehr Karami; Yousef Veisani; Manoochehr Solgi; Shahram Goodarzi
Volume 6, Issue 3 , July 2018, , Pages 239-244
Abstract
Objective: To address the epidemiology of animal bites and associated factors with delay in post-exposure prophylaxis (PEP) in Nahvand district, western Iran.Methods: Data were obtained from Rabies Treatment Center (RTC) in Nahavan district from March 2015 to March 2017. All of referred cases to RTC ...
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Objective: To address the epidemiology of animal bites and associated factors with delay in post-exposure prophylaxis (PEP) in Nahvand district, western Iran.Methods: Data were obtained from Rabies Treatment Center (RTC) in Nahavan district from March 2015 to March 2017. All of referred cases to RTC include 1448 cases of animal bites using the census method were recruited. Epidemiological profile of participants was demonstrated using descriptive statistics and determinants of PEP was addressed by logistic regression model.Results: The majority of victims were males 1167(80.5%). superficial bites were more prevalent than deep status injuries (1145(79.0%) VS. 303(20.9%)). The biting rate differed according to season in the period of the study (p<0.001). Cases who experienced animal biting in the autumn was more likely to refer timely for PEP than cases in spring season (OR, 0.39; 95% CI: 0.26 - 0.59, p<0.001).Conclusion: Our findings addressed the pattern of potential delays in PEP including the role of season. Local authorities of Nahavand district should considered preventive activities and educational interventions to reduce animal biting and provide timely prophylaxis.
