Ehsan Sarbazi1,2, Mohamadreza Sarbazi3, Saber Ghaffari-Fam4, Towhid Babazadeh5, Sohrab Heidari4, Khadijeh Aghakarimi4, Ismail Jamali6, Ali Sherini6, Javad Babaie7, Ghader Darghahi8. 1. Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. 2. Road Traffic Injury Research Center, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran. 3. PhD student in Applied ELT at Ilam University, Faculty of humanities and foreign languages Ilam, Iran. 4. School of Nursing of Miyandoab, Urmia University of Medical Sciences, Urmia, Iran. 5. Department of Public Health, Sarab Faculty of Medical Sciences, Sarab, Iran. 6. Tabriz Health Center, Tabriz Rabies Prevention and Treatment Center, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran. 7. Department of Health Services Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran. 8. MSc of Epidemiology, Research Center of Psychiatry and Behavioral Sciences, Razi Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
OBJECTIVES: The aim of the present study was to identify 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 recognized 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 a delay more than 48 h in females was higher than in males (12.9% compared to 8.5%) (p-value= 0.004). Relative frequency of a delay of 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: according to the results of the present study, among the various variables that affect the delayed initiation of PEP, rural residents and being female, in particular, 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 indicat that providing training and patient education are required to ensure the completion of appropriate treatment. Journal compilation
OBJECTIVES: The aim of the present study was to identify 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 recognized 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 a delay more than 48 h in females was higher than in males (12.9% compared to 8.5%) (p-value= 0.004). Relative frequency of a delay of 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: according to the results of the present study, among the various variables that affect the delayed initiation of PEP, rural residents and being female, in particular, 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 indicat that providing training and patient education are required to ensure the completion of appropriate treatment. Journal compilation
Authors: Charles E Rupprecht; Deborah Briggs; Catherine M Brown; Richard Franka; Samuel L Katz; Harry D Kerr; Susan Lett; Robin Levis; Martin I Meltzer; William Schaffner; Paul R Cieslak Journal: Vaccine Date: 2009-11-27 Impact factor: 3.641
Authors: Mucahit Emet; Nazim Ercument Beyhun; Zahide Kosan; Sahin Aslan; Mustafa Uzkeser; Zeynep Gokcen Cakir Journal: Ann Agric Environ Med Date: 2009 Impact factor: 1.447