Knowledge Levels of Medical Faculty Clinical Term Students About Rabies Prophylaxis: An Observational Study

Yıl 2026, Cilt: 9 Sayı: 1 , 1 - 11 , 31.03.2026

Aybüke Nisa Gerçek , Baki Derhem

https://doi.org/10.55517/mrr.1781390

https://izlik.org/JA57PN97EL

Öz

Aim: Rabies is a 100% preventable disease with pre- and post-exposure prophylaxis. The aim of this study is to investigate the level of knowledge of clinical term students at Kirikkale University Faculty of Medicine regarding rabies prophylaxis. Method: This cross sectional study was performed between May 2025- July 2025 among 201 pre-graduate medical students who were studying at Kirikkale University Faculty of Medicine. The questionnaire form, which aimed to measure the level of knowledge about rabies prophylaxis, was prepared by the researchers based on the Turkish Ministry of Health Field Guidelines for Rabies and consisted of 20 questions in total. Correct answers are scored 1 point, while incorrect or “I don't know” answers receive 0 points. Scores of 0-7 represent an insufficient level of knowledge, 8-16 represent an intermediate level of knowledge, and 17 and above represent a sufficient level of knowledge. The comparison of categorical variables was done using the Fisher's exact test and the chi-square test. P< 0.05 was considered as significant for all tests. Results: The mean age of the 201 participants was 23.58 ± 2.97 and 52.7% (n=106) were female. We found a moderate levels of knowledge (12.37 ± 3.97 total score) about rabies prophylaxis among medical students. According to sufficiency level, only 17.9% of the participants had adequate knowledge level. Conclusion: This study highlights that, both in terms of implementing the right management in practice and preventing unnecessary use of resources, students and post-graduate physicians should be reminded through lectures, courses or online trainings in order to repeat the knowledge about rabies prophylaxis and keep it up to date.

Anahtar Kelimeler

Knowledge , medical students , post-exposure prophylaxis , rabies

Tıp Fakültesi Klinik Dönem Öğrencilerinin Kuduz Profilaksisi Hakkındaki Bilgi Düzeyleri: Gözlemsel Bir Çalışma

https://izlik.org/JA57PN97EL

Öz

Amaç: Kuduz, temas öncesi ve sonrası profilaksi ile %100 önlenebilir bir hastalıktır. Bu çalışmanın amacı, Kırıkkale Üniversitesi Tıp Fakültesi klinik dönem öğrencilerinin kuduz profilaksisi konusundaki bilgi düzeyini araştırmaktır. Yöntem: Bu kesitsel çalışma, Mayıs 2025-Temmuz 2025 tarihleri arasında Kırıkkale Üniversitesi Tıp Fakültesi'nde öğrenim gören 201 lisans öncesi tıp öğrencisi arasında gerçekleştirilmiştir. Kuduz profilaksisi ile ilgili bilgi düzeyini ölçmeyi amaçlayan anket formu, araştırmacılar tarafından Türkiye Sağlık Bakanlığı Kuduz Profilaksi Rehberi’ne dayalı olarak hazırlanmış ve toplam 20 sorudan oluşmuştur. Doğru yanıtlar 1 puanla değerlendirilirken, yanlış veya bilmiyorum yanıtlarına 0 puan verilmiştir. 0-7 puan yetersiz bilgi düzeyini, 8-16 puan orta bilgi düzeyini, 17 ve üzeri puan ise yeterli bilgi düzeyini temsil edecek şekilde kategorize edilmiştir. Kategorik değişkenlerin karşılaştırılması Fisher'in kesin testi ve ki-kare testi kullanılarak yapılmıştır. P<0,05 tüm testler için anlamlı kabul edilmiştir. Bulgular: Katılımcıların yaş ortalaması 23,58 ± 2,97 idi ve %52,7'si (n=106) kadındı. Tıp öğrencilerinin kuduz profilaksisi hakkında orta düzeyde bilgiye sahip oldukları (toplam puan 12,37 ± 3,97) tespit edildi. Yeterlilik düzeyine göre, katılımcıların sadece %17,9'u yeterli bilgi düzeyine sahipti. Sonuç: Bu çalışma hem doğru tedavinin uygulanması hem de kaynakların gereksiz kullanımının önlenmesi açısından, öğrencilere ve tıpta uzmanlık öğrencilerine dersler, kurslar veya çevrimiçi eğitimler yoluyla kuduz hakkında bilgilerin tekrar edilmesi gerektiğini vurgulamaktadır.

Anahtar Kelimeler

Bilgi düzeyi , tıp öğrencileri , temas sonrası profilaksi , kuduz

Kaynakça

• World Health Organization. WHO expert consultation on rabies [Internet]. Geneva: World Health Organization; 2018 [cited 2025 Jun 25]. Available from: https://iris.who.int/handle/10665/272364
• Health Organization. Classification | Rabies - Bulletin - Europe [Internet]. [cited 2025 Jun 26]. Available from: https://www.who-rabies-bulletin.org/site-page/classification
• World Health Organization. Signs of rabies | Rabies - Bulletin - Europe [Internet]. [cited 2025 Jun 26]. Available from: https://www.who-rabies-bulletin.org/site-page/signs-rabies
• Hampson K, Coudeville L, Lembo T, Sambo M, Kieffer A, Attlan M, et al. Estimating the global burden of endemic canine rabies. PLOS Neglected Tropical Diseases. 2015;9(4):e0003709.
• T.C. Sağlık Bakanlığı. Kuduz profilaksi rehberi [Internet]. [cited 2025 Jun 26]. Available from: https://hsgm.saglik.gov.tr/depo/birimler/zoonotik-vevektorel-hastaliklar-db/Dokumanlar/Rehberler/Kuduz_Profilaksi_Rehberi.pdf
• Liu C, Cahill JD. Epidemiology of Rabies and Current US Vaccine Guidelines. Rhode Island Medical Journal. 2020;103(6): 51-53.
• Yıldırım AA, Doğan A, Kurt C, Çetinkol Y. Evaluation of our rabies prevention practices: is our approach correct? Iranian Journal of Public Health. 2022;51(9):2128–34.
• World Health Organization. Vaccinations and immunization [Internet]. [cited 2025 Jun 25]. Available from: https://www.who.int/teams/control-of-neglected-tropical-diseases/rabies/vaccinations-and-immunization
• Cavalcante KKDS, Alencar CH. Human rabies: evaluation of post-exposure prophylaxis prevalence in Ceará, Brazil, 2007-2015. Epidemiologia e Serviços de Saúde. 2018;27:e2017547.
• Benavides JA, Megid J, Campos A, Hampson K. Using surveillance of animal bite patients to decipher potential risks of rabies exposure from domestic animals and wildlife in Brazil. Frontiers in Public Health. 2020;8:318.
• Rysava K, Miranda ME, Zapatos R, Lapiz S, Rances P, Miranda LM, et al. On the path to rabies elimination: The need for risk assessments to improve administration of post-exposure prophylaxis. Vaccine. 2019;37 Suppl 1:A64–72.
• World Health Organization. Rabies [Internet]. [cited 2025 Jun 25]. Available from: https://www.who.int/news-room/fact-sheets/detail/rabies
• Pervane VD, Erten Bucaktepe PG, İnce FM, Demir D, Koç S. Rabies Disease and Prophylaxis Knowledge Among Turkish Medical Students: Insights from a Cross-Sectional Study. Tropical Medicine and Infectious Disease. 2024;10(1):9.
• Kenu E, Ganu V, Noora CL, Adanu R, Lartey M. Management of dog bites by frontline service providers in primary healthcare facilities in the Greater Accra Region of Ghana, 2014–2015. Infectious Diseases of Poverty. 2018;7(1):18.
• Koruk ST, Koruk I, Kutlu S. Where do we stand in the control of rabies? Knowledge and practices among physicians in a health district in Turkey. Wilderness & Environmental Medicine. 2011;22(2):151–5.
• Chowdhury R, Mukherjee A, Naskar S, Lahiri S. A study on knowledge of animal bite management and rabies immunization among interns of a government medical college in Kolkata. International Journal of Medical Science and Public Health. 2013;3(1):17.
• Shaban MAA, Sidahmed TSM, Elobied HES, Omer MME, Yusuf AAA, El-Haj ARMOK, et al. Assessment of the awareness of rabies, rabies prophylaxis guidelines and rabies practice among physicians in Sudan: a national cross-sectional study, 2024. BMC Public Health. 2025;25(1):892.
• Nair AA, Thankamoniamma PM, LK G, Pinheiro C, Shajahan A, Eranippurath AMP, et al. Rabies and its prevention: are our medical students well informed? International Journal of Community Medicine and Public Health. 2023;10(10):3660–4.
• Gönen I, Soysal A, Topuzoğlu A, Bakir M. Clinical knowledge and attitudes of Turkish physicians toward rabies caused by animal bites. Japanese Journal of Infectious Diseases. 2011;64(5):382–90.
• Akcali MA, Sayhan MB, Salt Ö. Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students. Troia Medical Journal. 2023;4(3):72-78.