Epidemiological Analysis of 7 280 Rabies Exposure Cases in a Hospital
- 药学院－已发表论文 
目的 分析某院2014—2016年狂犬病暴露患者的流行病学特征及暴露后处置情况,为加强本市城乡结合地区狂犬病防治工作提供科学依据。方法 根据医院HIS系统的资料,对伤人动物类别及就诊患者的性别、年龄、暴露级别、就诊时间、疫苗接种情况等相关因素进行统计分析。结果 2014—2016年某院共有7 280例患者接种了狂犬病疫苗,其中被犬咬（抓）伤者占87.18%;青年期和中年期两个年龄段的构成比占了62.34%。不同月份被动物咬（抓）伤者构成比比较,差异有统计学意义（P〈0.05）。狂犬病疫苗接种率为100.0%,狂犬病人免疫球蛋白接种率为5.01%。结论 普及狂犬病防治知识,加强宠物管理,增加自我保护意识,及时处理伤口和接种疫苗是预防狂犬病的关键。Objective To analyze the epidemiological characteristics of patients exposed to rabies and the post-exposure prophylaxis in a hospital from 2014 to 2016,to improve the prevention of rabies in urban-rural connection areas. Methods Data concerning the attacking species, genders and ages of the patients, grades of the exposure, clinic time and status of rabies inoculation were statistically analyzed according to the data of HIS system from a hospital. Results A total of 7 280 persons exposed to rabies were reported in a hospital from 2014 to 2016.Dog bite or catch accounted for 87.18% of all cases. Adolescence and middle age accounted for 62.34%.Statistical differences were noted among constituent ratios of cases visited at different months of the year（P〈0.05）.All the cases were inoculated with rabies vaccine, inoculation rate of human rabies immunoglobulin was 5.01%. Conclusion Better public education on rabies control and prevention, in order to strengthen the management of the pet, increase self-protecting awareness, in a timely manner to deal with the wound and vaccination is the key to the prevention of rabies.