茅蓉, 曹家穗, 金安宝. 2009-2014年浙江省嘉兴市疾病预防控制中心犬伤门诊狂犬病暴露人群监测分析[J]. 疾病监测, 2015, 30(10): 851-854. DOI: 10.3784/j.issn.1003-9961.2015.10.014
引用本文: 茅蓉, 曹家穗, 金安宝. 2009-2014年浙江省嘉兴市疾病预防控制中心犬伤门诊狂犬病暴露人群监测分析[J]. 疾病监测, 2015, 30(10): 851-854. DOI: 10.3784/j.issn.1003-9961.2015.10.014
MAO Rong, CAO Jia-hui, JIN An-bao. Rabies surveillance in rabies clinic affiliated to Jiaxing Prefecture Center for Disease Control and Prevention,2009-2014[J]. Disease Surveillance, 2015, 30(10): 851-854. DOI: 10.3784/j.issn.1003-9961.2015.10.014
Citation: MAO Rong, CAO Jia-hui, JIN An-bao. Rabies surveillance in rabies clinic affiliated to Jiaxing Prefecture Center for Disease Control and Prevention,2009-2014[J]. Disease Surveillance, 2015, 30(10): 851-854. DOI: 10.3784/j.issn.1003-9961.2015.10.014

2009-2014年浙江省嘉兴市疾病预防控制中心犬伤门诊狂犬病暴露人群监测分析

Rabies surveillance in rabies clinic affiliated to Jiaxing Prefecture Center for Disease Control and Prevention,2009-2014

  • 摘要: 目的 了解浙江省嘉兴市疾病预防控制中心犬伤门诊狂犬病暴露情况,探讨狂犬病防治对策。方法 建立狂犬病暴露处置门诊数据库,收集狂犬病暴露者个案资料,对监测资料进行回顾性分析。结果 2009-2014年犬伤门诊共接诊狂犬病暴露病例23 361例;暴露比例最高为20~岁组,占21.29%;本地农民占35.87%;7-8月为暴露高峰,79.29%的暴露者被犬所伤,85.88%的暴露者在24 h内就诊;Essen程序组和Zagreb程序组的全程接种率分别为93.40%和95.19%;Ⅲ级暴露者中联合注射狂犬病免疫球蛋白者仅占应注射数的20.51%。结论 狂犬病暴露人数呈逐年递增趋势,需加强监测并有针对性地开展狂犬病防治健康教育。建议对家养动物定期免疫接种,规范狂犬病暴露预防处置工作并降低处置成本。

     

    Abstract: Objective To understand the incidence of rabies exposure in Jiaxing and provide evidence for rabies control and prevention.Methods The incidence data of rabies exposure were collected in the rabies clinic affiliated to Jiaxing Prefecture Center for Disease Control and Prevention(CDC) to establish the rabies surveillance database.Results A total of 23 361 rabies exposure cases were treated in clinic from 2009 to 2014.The rabies exposure mainly occurred in people aged20 years, accounting for 21.29%. The rabies exposure cases in local farmers accounted for 35.87%. The incidence peak of rabies exposure was during July-August, and 79.29% of the exposures were caused by dog bite. Up to 85.88% of the exposure cases were treated within 24 hours. The complete vaccination rate of Essen schedule group and Zagreb schedule group were 93.40% and 95.19% respectively. Only 20.51% of the class Ⅲ exposure cases received rabies immunoglobulin injection.Conclusion Rabies exposures increased with year in Jiaxing. It is necessary to strengthen rabies surveillance and conduct targeted health education. And it is suggested to vaccinate domestic animals regularly, standardize rabies exposure treatment and reduce treatment cost.

     

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