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目的分析狂犬病暴露者疫苗接种依从性的现状,为今后提高依从性提供科学依据。方法将新会区疾病预防控制中心门诊部2009年因犬伤就诊的病人进行登记,并将就诊记录用Excel2003建立数据库,进行依从性的统计分析。结果共接诊2095例狂犬病暴露者,全程接种人群1546人,疫苗接种依从性为73.79%。Ⅰ、Ⅱ、Ⅲ级暴露患者的依从性分别为90.48%、69.84%、84.15%,前三针的依从性较高,第四针后明显下降。Ⅲ级暴露者的接种依从性最好,Ⅱ级暴露者最差(χ2=45.84,P<0.05)。疫苗接种者中儿童的依从性最好,青壮年人群的依从性最差。城区居民的疫苗接种依从率高于农村(χ2=16.83,P<0.05)。不依从者主要是不按时进行接种。结论新会区狂犬病暴露者疫苗接种的依从性还有待提高。
Objective To analyze the status of vaccination compliance in rabies exposed persons and provide a scientific basis for improving compliance in the future. Methods In 2009, the outpatient department of Xinhui District Center for Disease Control and Prevention registered the patients who had been treated for canine injuries and established the database with Excel 2003 to analyze the compliance. Results A total of 2095 cases of rabies exposure were enrolled, 1546 people were vaccinated in the whole process, and the vaccination compliance was 73.79%. The compliance of patients with grade Ⅰ, Ⅱ and Ⅲ exposure was 90.48%, 69.84% and 84.15% respectively. The compliance of the first three stitches was high and decreased significantly after the fourth stitches. Grade III exposed persons had the best adherence and the worst grade II exposed persons (χ2 = 45.84, P <0.05). Children in the vaccination group had the highest adherence and youth population had the lowest adherence. The compliance rate of urban residents in vaccination was higher than that in rural areas (χ2 = 16.83, P <0.05). Non-compliance is mainly not on time vaccination. Conclusions The compliance of vaccination with rabies exposed in Xinhui District remains to be improved.