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A prospective study of patients presenting at General Hospital, Kandy for post exposure prophylaxis of rabies

Authors:

K. V. H. K. K. Perera ,

University of Peradeniya, Peradeniya, LK
About K. V. H. K. K.
Department of Microbiology, Faculty of Medicine
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M. Zarook,

General Hospital, Kandy, LK
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V. Thevanesam

University of Peradeniya, Peradeniya, LK
About V.
Department of Microbiology, Faculty of Medicine
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Abstract

There is limited information on the characteristics of the large number of patients seeking rabies post exposure prophylaxis at state hospitals in Sri Lanka. 876 patients seeking rabies post exposure prophylaxis at General Hospital, Kandy during July-August 1997 were individually interviewed using a structured questionnaire. The majority of patients (94.2%) were from the central province with 2.7%,1.2% and 1.3% from Uva, North East and North Western province respectively. 35% lived within 10km and 21%>25km from the hospital and 29% had travelling times of over 1 hour. 45.2% of patients were referred by health care workers, the rest being self referrals. 18.2% of the former and 45.4% of the latter group did not need prophylaxis. 90.4%, 6.7%, and 1.8% of risk exposures were to dogs, cats and other animals respectively. 72% of dogs and cats-.were domestic animals of which only 13.6% had received rabies immunization in the past year. State costs included the cost of vaccine (Rs. l,091,000/=), cost of consumables and medical and nursing staff time. Rabies post exposure prophylaxis is costly in money and personnel. The cost to the state for vaccine alone for a 2 month period was over 1 million rupees. Animal rabies eradication and awareness promotion programmes are urgently needed.

How to Cite: Perera, K.V.H.K.K., Zarook, M. and Thevanesam, V., 1998. A prospective study of patients presenting at General Hospital, Kandy for post exposure prophylaxis of rabies. Ceylon Journal of Medical Science, 41(2), pp.47–51.
Published on 30 Dec 1998.
Peer Reviewed

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