关键词: 狂犬病, 犬伤门诊, 规范

Abstract:

Objective To assess the progress and issues of the development of dog bite injury clinics since the Zhejiang Accreditation Standards for Dog Bite Injury Clinics (Tentative) (Zhejiang provincial Department of Public Health [2010] No. 50) was inaugurated, and to further improve the relevant standards for the development of dog bite injury clinics. Methods The assessment plan and questionnaire were developed, and trained staff conducted field survey of all dog bite injury clinics in Zhejiang province. A database was established using EpiData 3.0, and data analysis was performed using Excel. Results In 2011, there were 703 dog bite injury clinics in Zhejiang province; of these dog bite injury clinics, 79.23% were located in township health centers, 26.46% were operated independently, 68.71% provided full services, 9.39% had a facility smaller than 15 m², 39.12% had no cold and hot water supplies, 8.96% had no wound irrigation devices, and 3.27% had no availability of first-aid supplies. There were 7 medical workers on average in each dog bite injury clinic, and 5.85% of all clinics had no medical staff on holidays and during night. Conclusion Compared with the situation in 2008, the standardized development of dog bite injury clinics in Zhejiang province was improved overall in 2011, but with great variations among different regions. Further study is warranted to improve the access to health services after dog bite injury, and the location, number, and configuration of dog bite injury facilities should be reconsidered.

Key words: Rabies, Dog bite injury clinic, Standardization