浙江省温州市狂犬病暴露人群与犬伤门诊服务现状调查分析

目的 了解浙江省温州市狂犬病暴露人群以及犬伤门诊服务情况,为规范建设犬门诊和防控狂犬病提供依据。 方法 收集2011年温州市狂犬病疫情资料和各犬伤门诊狂犬病暴露人群基本情况及处置记录,设计调查表对全市范围内所有开展狂犬病暴露处置的疾控机构和医疗机构的犬伤门诊开展现场调查。 结果 2011年共报告狂犬病5例,全部死亡。全市狂犬病暴露人数为48 268例,其中被犬致伤39 782例,其他动物致伤8486例。全市共有犬伤门诊158家,其中89.24%设在乡镇卫生院(社区卫生服务中心),50%具有完整的功能分区,10家为独立设置门诊,仅有17.09%门诊采用双相冷热供水,80.38%的犬伤门诊诊室或附近配有伤口清洗设施。有50家提供24 h接诊病例。门诊医护人员大多兼职,最少1人,最多14人。 结论 温州市是狂犬病自然疫源地,狂犬病暴露人群较多,存在狂犬病流行危险。各地犬伤门诊设置差别较大,应整合资源规范建设犬伤门诊。

Rabies exposure and performance of rabies clinics in Wenzhou

Objective To understand the rabies exposure and evaluate the post exposure prophylaxis service in Wenzhou, and provide evidence for standard dog wound treatment and prevention and control of rabies. Methods The analysis on incidence of human rabies and survey of rabies clinic performance in Wenzhou in 2011 were conducted. Results Five human rabies cases were reported in 2011, all the cases were fatal. Totally 48 268 people were potentially exposed to rabies, in which 39 782 were wounded by dogs, 8486 were wounded by other animals. There were 158 rabies clinics in Wenzhou, in which 89. 24% were set in township health centers or community health centers, 50% had compete functional areas, 10 had independent outpatient section, only 17.09% had two-phase hot and cold water supply, 80. 38% had wound cleaning facilities and 50 provided round clock service. The clinic＇ s doctor number ranged from 1 to 14, most doctors worked in part time. Conclusion Wenzhou is an endemic area of rabies, it is necessary to set standard rabies clinic to reduce the risk of human rabies.