Objective To study the situation of rabies post-exposure treatment surveillance in Wuhu city in 2014 and provide evidence for rabies prevention and control. Methods The data of rabies post-exposure treatment surveillance were collected from dog-bite injury clinic of Wuhu Center for Disease Control and Prevention in 2014, descriptive epidemiological analysis and Logistic regression were applied for data analysis. Results A total of 10 009 cases of rabies post-exposure treatment were reported, the majority of these cases were young-and middle-aged adults; cases were reported every month, exposure mainly occurred in summer and autumn, the number from May to October accounted for 60.99% of all incidents. Injuries were mostly on four limbs and GradeⅡ exposure, and the upper and lower limbs accounted for 53.64% and 41.27% respectively, grade Ⅱ and gradeⅢexposures accounted for 86.38% and 12.30% respectively, all exposed cases were inoculated with rabies vaccines and 38.42% of cases with Grade Ⅲ exposure were given passive immunizing agents. However, 8.71% of the wounds were untreated after exposure, dog bites constituted 78.31% of all exposures and only 22.59% of dogs were vaccinated before and without vaccination accounted for 72.36%. Age, injured place, grade of exposure, wound self-treatment and immunization history of the animals were the protective factors. Conclusion Injuries were mostly Grade Ⅱ exposure in Wuhu during 2014, low rates of passive immunizing agents among the cases with Grade Ⅲ exposure, parts of the cases lack of standard wound treatment after exposure. Therefore, public health education and post-exposure treatment should be further strengthened to reduce the risk of rabies incidence.
AN Zhou, WANG Fei, LI Xiao-mei, QIAN Bang-qun, WANG Xu, TONG Fei
. Analysis of rabies post-exposure treatment surveillance in Wuhu city in 2014[J]. Chinese Journal of Vector Biology and Control, 2018
, 29(6)
: 641
-644
.
DOI: 10.11853/j.issn.1003.8280.2018.06.024
[1] 中国疾病预防控制中心. 狂犬病预防控制技术指南(2016版)[EB/OL]. (2016-02-01)[2018-07-19]. http://www.chinacdc.cn/zxdt/201602/t20160201_125012.html.
[2] 张永振,俞永新,董关木,等. 中国狂犬病的流行病学特征及防制建议[J]. 中华预防医学杂志,2007,41(3):165-168. DOI:10. 3760/j:issn:0253-9624.2007.03.002.
[3] Jiao WT,Li H,Tao XY,et al. Investigation and analysis of rabies viral infection and distribution in China in 2005-2012[J]. Virol Sin,2013,28(3):183-185. DOI:10.1007/s12250-013-3324-7.
[4] WHO. WHO Expert consultation on rabies[R]. Technical Report. Series 931-First Report. Geneva:WHO,2004:44-48.
[5] 卫生部. 狂犬病暴露预防处置工作规范(2009年版)[EB/OL]. (2009-12-17)[2018-07-19]. http://www.moh.gov.cn/mohbgt/s10695/200912/45090.shtml.
[6] 陈家红,陈永玲,何文轩. 4758例狂犬病暴露人群预防处置情况分析[J]. 湖北科技学院学报:医学版,2013,27(6):514-515. DOI:10.16751/j.cnki.2095-4646.2013.06.002.
[7] 周冰,彭素标. 北京市门头沟区2010-2013年狂犬病监测结果分析[J]. 中国媒介生物学及控制杂志,2015,26(3):299-302. DOI:10.11853/j.issn.1003.4692.2015.03.020.
[8] 邱波,梁纪伟,辛化雷,等. 青岛市2009-2013年狂犬病暴露处置监测分析[J]. 中国媒介生物学及控制杂志,2014,25(6):563-565. DOI:10.11853/j.issn.1003.4692.2014.06.021.
[9] 刘莉红,陆大钧,陈俊杰. 宜春市2012年狂犬病暴露人群监测分析[J]. 现代预防医学,2014,41(8):1517-1519.
[10] 侯巍,阳爱国,郭莉,等. 四川省犬狂犬病流行病学调查及其防控措施[J]. 畜禽业,2015(6):10-11. DOI:10.3969/j.issn.1008-0414.2015.06.006.
[11] 张华,李涛,张霞,等. 贵州部分地区犬狂犬病疫苗免疫和病毒携带情况调查[J]. 贵州农业科学,2014,42(10):194-196. DOI:10.3969/j.issn.1001-3601.2014.10.051.
[12] 张菲,张守峰,刘晔,等. 我国部分地区犬狂犬病免疫覆盖率的连续调查[J]. 中国动物传染病学报,2011,19(1):68-71. DOI:10.3969/j.issn.1674-6422.2011.01.012.