Implementation Effect of Rabies Exposure Prevention and Treatment Clinic in the Community on Dog Bite Wound Management,Passive Immunization,and Vaccination
Objective This study aims to analyze the implementation effect of the rabies exposure prevention and treatment clinic in the community on dog bite wound management,passive immunization,and vaccination.Methods The medical records of the rabies exposure prevention and treatment clinic at Wuzhi County Center for Disease Control from January 2020 to January 2023 were selected.A total of 1,500 eligible patients with rabies exposure wounds were randomly divided into the routine care group(750 cases,receiving routine rabies vaccination care)and the community care group(750 cases,receiving targeted intervention by community specialized care members based on the routine care group care plan)using a random number table method.Data on wound management,passive immunization,and vaccination were collected and statistically analyzed.Results Among the patients included in this study,the proportion of males(58.13%)was higher than that of females(41.87%).The highest proportion of patients was in the 2～9 years age group(26.40%),and the lowest proportion was in the≥60 years age group(7.13%).The highest proportion of patients had grade Ⅱ wound exposure(49.47%),and the highest proportion of wound exposure was in the lower limbs(48.33%).The highest proportion of patients sought medical attention within 24 hours after wound exposure(69.13%).All patients included in this study received human lyophilized rabies vaccine,and 480 patients received human rabies immunoglobulin injection(32.00%).The correct wound management rate in the community care group reached 98.27%,the passive immunization rate reached 98.53%,and the vaccination rate reached 97.47%,all higher than those in the routine care group(94.93%,95.20%,93.47%),with statistically significant differences(P＜0.05).Conclusion Targeted nursing interventions in the rabies exposure prevention and treatment clinic in the community have positive significance in improving wound management,passive immunization,and vaccination for rabies-exposed individuals.
万方数据
维普
