张家港市2008-2012年一犬咬伤多人事件分析及防制对策  

1 dog bite multiple people event analysis and prevention and control measures of Zhangjiagang city during 2008-2012

作　　者：包德锋 杜国明[1] 邱海岩[1] 傅军[1] 陆明霞[1] 邵海枫[1] 

机构地区：[1]张家港市疾病预防控制中心,江苏215600

出　　处：《医学动物防制》2015年第6期665-666,669,共3页Journal of Medical Pest Control

摘　　要：目的分析2008-2012年张家港市一犬咬伤多人事件,探讨防制对策。方法对张家港市2008-2012年发生的9起一犬咬伤多人事件的调查资料进行描述性分析。结果 2008-2012年共发生一犬咬伤多人事件9起,狂犬病暴露95人,暴露者中无狂犬病病例报告;该类事件多发生于农村和乡镇地区,春夏季为高发季节;95名暴露者中男女之比为0.73∶1;暴露年龄组以45~岁组最多,占暴露总数的53.68%,0~岁组最少,占暴露总数的11.58%;暴露部位为以下肢为主,暴露级别以Ⅱ、Ⅲ级暴露为主;所有暴露者均到附近医院清洗伤口、消毒和全程接种人狂犬病疫苗,其中54名Ⅲ级暴露者中有47名（87.04%）接种了人狂犬病免疫球蛋白;事件中的伤人犬均为中小型无主犬只,均被群众或公安机关打死后进行无害化处理。结论加强狂犬病防制知识宣传、加强犬只管理、规范犬咬伤门诊、对暴露者及时进行伤口处理和接种狂犬病疫苗是预防该事件发生及预防狂犬病的重要措施。Objective To analyze 1 dog bite multiple people event in Zhangjiagang city during 2008 -2012, and to discuss prevention strategies. Methods Used the descriptive analysis on 9 incidents in Zhangjiagang city during 2008 - 2012. Results 9 incidents occurred during 2008 - 2012, 95 people were exposed to rabies , all these cases failed to be reported, these events mostly occurred in rural and suburban areas, most of these e- vents happened in spring and summer; the ratio between men and women as 0. 73：1 ; 53.68% of the exposed people were 45 year and older, accounted for 53.68% of the total, 0 ＋＇years age group were the least, ac- counted for 11.58% ; Mainly exposed parts of the lower limbs, exposure levels to Ⅱ , Ⅲ level of exposure based ; All exposed got wound treated and rabies vaccine at the close hospitals ; In the event of ownerless small dogs were killed and harmless treatment by the masses or the public security organs . Conclusions It is impor- tant to prevent rabies by education of the rabies, strengthening management, treating wounds timely and taking a rabies vaccine.

关 键 词：一犬咬伤多人事件 暴露者 狂犬病 

分 类 号：R646[医药卫生—外科学] R512.99[医药卫生—临床医学]