Nursing Care for Patients with Animal Bites that Transmit Rabies

Ning Arti Wulandari, Wimar Anugerah Romadhon, Oni Puji Lestari

Abstract


Rabies is a disease caused by the Ribonucleic Acid (RNA) virus from the Rhabdoviridae family, a neurotropic, highly contagious, bullet-shaped virus. Analyzing an overview of case studies in providing nursing care to patients with bites from animals that transmit rabies in the emergency unit of the Kepanjenkidul Health Center, Blitar City. This case study was carried out on 4 patients who were bitten by rabies-transmitting animals, who had received nursing care in accordance with Indonesian nursing care standards and were evaluated on the 7th day after the bite. The results of the case study show that from the four cases nursing diagnoses emerged of impaired skin/tissue integrity, acute pain, risk of infection with nursing interventions including pain management, wound care, and infection prevention. All implementations were carried out in accordance with planning, the results of the evaluation on the seventh day all nursing care goals were achieved and there were no further complications. There is a need to socialize standards for management of rabid animal bites and improve coordination between health workers and related agencies to immediately carry out mitigation


Full Text:

PDF

References


Aulia U, Khallifhatul V, Pujilestar I, Zukiaturrahmah A, Pertiwi SL, Suzana R, et al. Pengantar kesehatan masyarakat veterine dan zoonosis [Internet]. Padang, Sumatera Barat: Tim Gita Lentera; 2024. Available from: https://books.google.co.id/books?hl=en&lr=&id=6HUVEQAAQBAJ&oi=fnd&pg=PA5&dq=penggunaan+antibiotik+pada+gigitan+hewan+rabies&ots=_9So1N9Yiz&sig=h7eyQnytIpccHGqN99zpMlyNyjA&redir_esc=y#v=onepage&q&f=false

Kemenkes. Petunjuk Teknis Penatalaksanaan Kasus Ghpr Ii [Internet]. Dirjen P2P. Jakarta Selatan: Kemenkes RI; 2019. 38 p. Available from: https://ayosehat.kemenkes.go.id/media-buku-saku-rabies--petunjuk-teknis-penatalaksanaan-kasus-gigitan-hewan-penular-rabies-di-indonesia

Novianti SA, Batan IW, Suardana IW. Pemetaan dan Analisis Kejadian Rabies di Kabupaten Buleleng Tahun 2010-2016. Indones Med Veterinus. 2018;7(2):66. https://doi.org/10.19087/imv.2018.7.2.150

Abidin A, Budi A. HUBUNGAN ANTARA PENGETAHUAN DAN SIKAP TERHADAP UPAYA PENCEGAHAN PENYAKIT RABIES PADA MASYARAKAT DI WILAYAH KERJA PUSKESMAS TOMONI TIMUR TAHUN 2020. In: Kesehatan modern dan tradisional [Internet]. jogjakarta: Universitas Islam Indonesia; 2020. p. 32–42. 5. Murphy J, Qaisi M. Management of Human and Animal Bites. Oral Maxillofac Surg Clin [Internet]. 2021;33(3). https://doi.org/10.1016/j.coms.2021.04.006

Diyanti T, Oktaviana A. Penampungan kucing (Cat Selther) Banjarbaru. J tugas akhir Mhs Lanting [Internet]. 2020;9(1). https://doi.org/10.20527/jtamlanting.v9i1.552

Chen S-J, Rai C-I, Wang S-C, Chen Y-C. Infection and Prevention of Rabies Viruses. Microorganisms [Internet]. 2025;13(2). https://doi.org/10.3390/microorganisms13020380. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11858514/

Singh U, Choudhary S. Knowledge, Attitude, Behavior and Practice Study on Dog-Bites and Its Management in the Context of Prevention of Rabies in a Rural Community of Gujarat. Indian J Community Med. 2005;30(3):81.

Siddik NM, Magharby MHE, Ahmed NA. Knowledge and Performance of Emergency Nurses about Dog Bites Care at Emergency Unit. Assiut Sci Nurs J. 2024;12(45):41–51.

Evans GD. Improving Rabies Aftercare by Educating Emergency Department Providers of Care. Walden University; 2020.

Tim Pokja SDKI DPP PPNI. Standar Diagnosis Keperawatan Indonesia (SDKI). Jakarta: Persatuan Perawat Indonesia; 2018. 1–328 p.

TIM POKJA SLKI DPP PPNI. Standart Luaran Keperawatan Indonesia. Jakarta Selatan: DPP PPNI; 2019.

Tim Pokja SIKI DPP PPNI. Standar Intervensi Keperawatan Indonesia (SIKI) Edisi 1. Jakarta: Persatuan Perawat Nasional Indonesia; 2018. https://doi.org/10.32419/jppni.v1i1.17

Gardiner F, Gongal C, Tenzin G, Sabeta T, Benedictis C De, Paola, et al. Rabies in Cats—An Emerging Public Health Issue. Viruses. 2024;16(10):1–18. https://doi.org/10.3390/v16101635

Gould L, Abadir P, Brem H, Carter M, Conner-Kerr T, Davidson J, et al. Chronic Wound Repair and Healing in Older Adults: Current Status and Future Research. J Am Geriatr Soc [Internet]. 2015;63(3). Available from: https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.13332

Hidayat F, Aprina A. Faktor-Faktor yang Berhubungan dengan Proses Penyembuhan Luka Post Operasi Laparatomy di RSUD Dr. H. Abdoel Moeloek. Malahayati Nurs J. 2024;6(1):198–213. https://doi.org/10.33024/mnj.v6i1.10575

Ba MF, Kane NM, Diallo MKK, Bassoum O, Boh OK, Mboup FZM, et al. Knowledge, attitudes and practices on rabies among human and animal health professionals in senegal. Pathogens. 2021;10(10):1–15. https://doi.org/10.3390/pathogens10101282

Liu Q, Wang X, Liu B, Gong Y, Mkandawire N, Li W, et al. Improper wound treatment and delay of rabies post-exposure prophylaxis of animal bite victims in China: Prevalence and determinants. PLoS Negl Trop Dis. 2017;11(7):1–14. https://doi.org/10.1371/journal.pntd.0005663

Muhammad Fauzan N, Marsingga P, Panji Teguh Santoso M. Kebijakan Publik Indonesia dalam Menanggulangi Penyebaran Penyakit Zoonotic. Made Panji Teguh Santoso Innov J Soc Sci Res [Internet]. 2024;4(2):8615–27. Available from: https://j-innovative.org/index.php/Innovative/article/view/10196

Agustin A, Oktorra EJ, Sopiah P. Tinjauan Patogenesis Infeksi Rabies Akibat Gigitan Anjing pada Manusia : Dari Transmisi Hingga Kematian. J Penelit Inov. 2025;5(2):929–42. https://doi.org/10.54082/jupin.1395




DOI: https://doi.org/10.70111/hg3303

Refbacks

  • There are currently no refbacks.


"Health Gate" 
ISSN 2986-1098

Indexing: 

  

 

Published by The Regional Leadership Council of the Indonesian National Nurses Association, Blitar City

Kalimantan Street, Kel.Karangtengah, Kec. Sananwetan, Blitar City, East Java, Indonesia

 Creative Commons Lisences