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目的了解2009年四川省疾病预防控制中心犬伤门诊病例的流行病学特征。方法依据犬伤门诊记录,对就诊患者的年龄、性别、发病时间、暴露级别、伤口处理、疫苗接种和犬伤Ⅲ度暴露者狂犬免疫球蛋白的接种及伤人犬只情况等信息进行分析。结果 2009年共接诊5857例,咬伤人犬只的接种率为53.80%。就诊病例的年龄分布广泛,以20～29岁组和50～59岁组为多。全年各月份均有就诊者。犬伤暴露后,只有13.76%病例及时、正确地处理伤口。100%的犬伤暴露者进行了狂犬疫苗的注射。犬伤Ⅲ度暴露中,狂犬免疫球蛋白的使用仅为2.07%。结论犬伤人群在不断增加,应加强犬类动物的管理,加强宣传教育,提高人群防病意识,合理设置犬伤医学门诊,加大政府投入力度提供全程、免费接种服务,预防狂犬病的发生。
Objective To understand the epidemiological characteristics of canine outpatient cases in Sichuan Provincial Center for Disease Control and Prevention in 2009. Methods Based on records of outpatient inpatients, the information such as the age, sex, time of onset, level of exposure, wound treatment, vaccination and rabies immunoglobulin inoculation and wounding dogs were analyzed. Results A total of 5857 cases were admitted in 2009, and the inoculation rate of dogs was 53.80%. The age of treatment cases is widely distributed, with 20 to 29 age group and 50 to 59 age group as much. Visitors are available in all months of the year. After the dogs were exposed, only 13.76% of cases were treated timely and correctly. 100% of dogs exposed to rabies vaccine. Ⅲ degree of canine wound exposure, the use of rabies immunoglobulin is only 2.07%. Conclusion Dog population is increasing. Dogs management should be strengthened. Publicity and education should be stepped up. Awareness of disease prevention should be enhanced. A dog clinic should be set up rationally. Government efforts should be stepped up to provide full and free vaccination services to prevent rabies.