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目的调查狂犬病暴露者处置后的依从性。方法对2010年11月~2011年1月在南宁市疾病预防控制中心就诊的1 320例狂犬病暴露者接受处置的情况进行依从性分析。结果 2、3级暴露的依从率15岁以下组分别为98.74%、93.10%,15岁以上组分别为82.36%、80.13%;91例失依从的原因从高到低分别是费用因素(56.04%)、疫苗接种时间延误(31.87%)和认知因素(12.09%)。结论有效降低或/和控制医疗成本(包括开发高效疫苗、简化接种程序),提高狂犬病暴露者接受规范处置的依从性,普及狂犬病防治知识,提高大众认知水平是做好狂犬病防治工作的有效措施。
Objective To investigate the compliance of rabies exposed individuals after treatment. Methods The compliance of 12 320 rabies exposed patients treated at Nanning CDC from November 2010 to January 2011 was analyzed. Results The compliance rate of Grade 2 and 3 exposure was 98.74% and 93.10% respectively in the group of 15 years old and 82.36% and 80.13% respectively in the group of 15 years old and above. The reason of 91 follow-up was the cost factor (56.04% ), Delays in vaccination (31.87%) and cognitive factors (12.09%). Conclusions Effective measures to effectively reduce or / and control medical costs (including the development of high-efficiency vaccines and simplified vaccination procedures), to increase adherence to standardized treatment for rabies exposed persons, to popularize knowledge of rabies and to improve public awareness are effective measures to prevent and control rabies .