首页|2020年河南省平顶山市某接种门诊1307例再次狂犬病暴露者预防处置情况

2020年河南省平顶山市某接种门诊1307例再次狂犬病暴露者预防处置情况

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目的 了解再次狂犬病暴露者暴露后预防处置情况,为本地区狂犬病防控提供参考依据.方法 收集平顶山市某预防处置门诊再次狂犬病暴露人群数据,并对就诊者进行询问、检查、预防处置,采用SPSS 13.0及Excel 2003软件进行描述性流行病学分析.结果 2020年平顶山市某接种门诊共报告再次狂犬病暴露者1 307例,占全年狂犬病暴露病例的11.36%;再次暴露主要集中在5-8月(49.67%);15岁以下儿童为高危人群(29.92%);再次暴露发生在接种过狂犬病疫苗3~12个月时间的占20.43%;再次暴露中,53.02%是自家宠物致伤;动物免疫接种率平均为53.33%,猫的免疫接种率较低(46.02%);47.05%人群狂犬病再次暴露后第一时间自行正确处理伤口;就诊起始时间符合规范的占88.93%,延期1~3 d的较多(9.56%);全程规范接种疫苗者占97.51%,接种时间有延期的占1.32%.结论 平顶山市某接种门诊再次狂犬病暴露率较高,暴露后正确处理率较低,需加强狂犬病防治知识宣传教育,规范暴露后预防接种,重点是15岁以下儿童等高危人群;加强犬只动物管理,提高动物疫苗接种率.
Status of preventive treatment among 1 307 persons re-exposed to rabies provided by a vaccination clinic in Pingdingshan city of Henan province,2020
Objective To understand the status of preventive treatment among the persons re-exposed to rabies in Pingdingshang so as to provide the evidence for rabies prevention and control in this region.Methods The data on the persons re-exposed to rabies at a preventive treatment clinic in Pingdingshan city were collected,and inquire,examine,prevent and dispose of patients.Descriptive epidemiological analysis was conducted using SPSS 13.0 and Excel 2003 software.Results A total of 1 307 persons re-exposed to rabies were reported in 2020,accounting for 11.36%of the persons with rabies exposure reported throughout the year.The re-exposure mainly concentrated from May to August(49.67%);The children under 15 years old were the high-risk group(29.92%).The proportion of the re-exposures occurring between 3-12 months after rabies vaccination was 20.43%.Of the persons with the re-exposure,53.02%were injured by their own pets.The average animal vaccination rate was 53.33%;cats had a low vaccination rate of 46.02%.47.05%persons had the wound treated correctly at the first time after rabies re-exposure.The proportion of the re-exposed persons with starting time for medical treatment met the standards was 88.93%,and the persons with 1-3days delay was relatively high(9.56%).The proportion of the persons with vaccination completion conforming to the standard was 97.51%,and the persons with vaccination delay accounted for 1.32%.Conclusions The re-exposure rate of rabies in the studied vaccination clinic in Pingdingshan city is high,and the correct treatment rate after exposure is relatively low.It needs to strengthen the promotion and education of rabies prevention and control knowledge,standardize post exposure vaccination,and focus on high-risk groups such as children under 15 years old;strengthen dog animal management and increase animal vaccination rate.

RabiesRe-exposureRabies prevention

宋倩倩、张艳萍

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平顶山市疾病预防控制中心,河南平顶山 467000

狂犬病 再次暴露 狂犬病预防

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(2)
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