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[目的]掌握狂犬病暴露人群流行病学特征及暴露后处理情况,为制订狂犬病防控措施提供科学依据。[方法]对2008年临沂市河东区15处狂犬病门诊报告的狂犬病暴露人群资料进行分析,对发生的狂犬病例进行调查。[结果]被动物致伤到狂犬病暴露处置门诊就诊者合计6 678例。其中,男性3 846例,14岁以下1 935例,学生、工人2 820例;5~8月就诊的3 076例;被犬致伤者占91.17%;暴露部位为上肢的占51.20%,下肢占33.09%;暴露程度为Ⅱ级的占72.66%,就诊前伤口自行处理的占33.98%,狂犬病疫苗全程接种率为97.72%,Ⅲ级暴露者狂犬病抗血清/免疫球蛋白注射率为11.47%。报告1例被家犬致伤的本地狂犬病病例。[结论]儿童、少年是动物致伤的高危人群,群众防范意识差,暴露后自行处理比例低。
[Objective] To master the epidemiological characteristics and post-exposure treatment of rabies exposed population and provide a scientific basis for the development of rabies prevention and control measures. [Methods] The data of rabies exposure reported by 15 rabies clinics in Hedong District in 2008 were analyzed, and the rabies cases that occurred were investigated. [Results] A total of 6 678 cases of outpatients were exposed by animal to rabies exposure. Among them, 3,846 were male, 1,935 were under 14, 2,820 were students and workers, 3,076 were seen from May to August, 91,17% were caused by dogs, 51,20% were exposed by upper extremities, Accounting for 33.09%; 72.66% were grade Ⅱ, 33.98% were treated by pre-treatment wounds, 97.72% were vaccinated rabies vaccines, and 11.47% were rabies antisera / immunoglobulin in grade Ⅲ exposed. One case of local rabies reported to be domestic dog injuries was reported. [Conclusion] Children and adolescents are the high risk groups of animal injuries. The public have a poor awareness of precautionary measures and have a low rate of self-treatment after exposure.