Table 2 Knowledge and practice on rabies among healthcare workers in Lamu county, Kenya 2022
Variable | Count | Percentage |
|---|---|---|
Sub-county | ||
Lamu East | 21 | 28.8 |
Lamu West | 52 | 71.2 |
Gender | ||
Female | 31 | 42.5 |
Male | 42 | 57.5 |
Level of education | ||
Certificate | 6 | 8.2 |
Diploma | 47 | 64.4 |
Bachelors | 16 | 21.9 |
Masters | 4 | 5.5 |
Cader | ||
Nurse | 31 | 42.5 |
Clinical officer | 14 | 19.2 |
Doctor | 8 | 11.0 |
Pharmacist/Pharm technologist | 8 | 11.0 |
Veterinary officers | 6 | 8.2 |
Public Health Officer | 4 | 5.5 |
Laboratory technologist | 2 | 2.8 |
Rabies is a notifiable disease | ||
Yes | 64 | 87.7 |
No | 9 | 12.3 |
WHO animal wound bite exposure categories | ||
(I)1 | 4 | 5.48 |
(II)2 | 10 | 13.70 |
(III)3 | 46 | 63.01 |
(IV)4 | 12 | 16.44 |
(IV) 5 | 1 | 1.37 |
Attended a suspect rabies case in the last 3 months | ||
Yes | 34 | 46.6 |
No | 39 | 53.4 |
First Action when attending a dog bite patient | ||
Clean with running water only | 35 | 48.1 |
Clean with running water and soap | 18 | 24.7 |
Administer human rabies vaccine | 11 | 15.1 |
Close the bite wound | 9 | 12.3 |
Rating on existing information sharing mechanism between human and Animal department | ||
Neutral | 25 | 34.3 |
Unsatisfactory | 26 | 35.6 |
Satisfactory | 18 | 24.7 |
Not available | 4 | 5.5 |
Samples for confirming human rabies cases | ||
Ante-mortem samples | 9 | 12.3 |
Post-mortem samples | 12 | 16.4 |
Both ante-mortem and Post-mortem samples | 29 | 39.7 |
Not Sure/I don’t know | 23 | 31.5 |
Clinicians’ responses n = 63 | ||
Days within which rabies immunoglobulin (RIG) should be administered? | ||
0–7 | 39 | 61.9 |
0–14 | 17 | 27.0 |
Am not sure | 7 | 11.1 |
Sites for rabies immunoglobulin (RIG) administration (n = 63) | ||
Infiltration into the bite wound | 17 | 27.0 |
Muscle injection | 17 | 27.0 |
Don’t know | 29 | 46.0 |
Doses for the post Exposure prophylaxis for immunologically naive individual | ||
(I)1 | 2 | 3.3 |
(II)2 | 1 | 1.6 |
(III)3 | 3 | 4.9 |
(IV)4 | 7 | 11.5 |
(V)5 | 34 | 55.7 |
Not sure | 14 | 23.0 |
How is rabies post-exposure prophylaxis vaccine administered | ||
1) Intramuscular administration | 53 | 84.1 |
2) Intradermal administration | 3 | 4.8 |
Both 1 and 2 | 7 | 11.1 |
Identify the regimen of rabies post-exposure prophylaxis vaccine | ||
1) 0-3-7-14-28 (IM) | 54 | 85.7 |
2) 0-3-7 (ID) | 3 | 4.8 |
3) Both 1 and 2 | 5 | 7.9 |
Am not sure | 1 | 1.6 |
site of administration for post-exposure prophylaxis vaccine in adults | ||
Deltoid muscle | 46 | 73.0 |
Thigh | 1 | 1.6 |
Both 1 and 2 | 16 | 25.4 |
Responded correctly in the Administration of both RIG and PEP | ||
Yes | 9 | 14.3 |
No | 54 | 85.7 |
Circumstance would your advice a bite patient to stop taking human rabies vaccine | ||
1) Laboratory results for biting animal test negative | 26 | 41.3 |
2) Confined animal does not show rabies clinical signs in 14 days | 24 | 38.1 |
3) Both 1 and 2 | 10 | 15.9 |
4) When the bite wound has healed | 3 | 4.7 |
Would you be comfortable collecting human samples for rabies diagnosis | ||
Yes | 26 | 41.3 |
No | 22 | 34.9 |
Not sure | 15 | 23.8 |
Are you aware of a laboratory that would carry out human antemortem and post-mortem rabies test | ||
No | 52 | 82.5 |
Yes | 11 | 17.5 |