论文部分内容阅读
[目的]了解福建省CDC门诊狂犬病暴露后的预防处置现状,为防治提供依据。[方法]抽取2009年1～12月主动到接种门诊进行狂犬病免疫预防处置者,对登记资料进行分析。[结果]3 584例动物致伤暴露者,男多于女,性别比1.2∶1,20～60岁占65.7%,犬伤占72.0%,致伤高峰在7～9月,伤口以下肢为主,且以浅层和多部位伤多见,暴露者受伤后24 h内就诊者占75.0%,伤后暴露者未能处理或不能正确处理占24.2%,注射狂犬病免疫球蛋白者占就诊的26.8%。[结论]暴露后预防处置对预防狂犬病发挥重要的作用,今后将继续落实暴露人群的规范处置,加强对群众狂犬病防治知识的宣传教育,普及防治知识,提高高危人群的自我保护意识,做到被动物致伤后及时清洗伤口,并到疾控或医疗机构接种狂犬病疫苗和狂犬病免疫球蛋白。
[Objective] To understand the status of prophylaxis and treatment after rabies exposure in CDC clinic in Fujian Province and provide basis for prevention and treatment. [Methods] From January to December 2009, we took the initiative to vaccinate clinics for rabies immunization and treatment, and analyzed the registration data. [Results] 3 584 cases of animal injuries were exposed, with more men than women. The sex ratio was 1.2:1, the age of 20 ~ 60 years was 65.7%, the incidence of canine injuries was 72.0%, and the peak of injuries was between July and September. Lord, and more common in shallow and multiple sites, 75.0% of the respondents within 24 hours after injury were exposed, 24.2% of the patients were exposed or unable to handle properly, and rabies immunoglobulin accounted for the treatment 26.8%. [Conclusion] Post-exposure prophylaxis plays an important role in the prevention of rabies. In the future, we will continue to implement standardized treatment of exposed populations, strengthen publicity and education on public rabies prevention and control knowledge, popularize prevention and treatment knowledge, and raise awareness of self-protection among high-risk groups. The wounds were cleaned promptly after the animal was injured and rabies vaccines and rabies immunoglobulins were vaccinated at disease control or medical institutions.