一起一犬伤多人事件处置及随访5年效果评价  

The disposal of the event where several people were bitten by one dog and the effect evaluation of 5 years follow-up

作　　者：史映红[1] 李六林[1] 刘昌弟[1] 李永清[1] 刘世安[1] SHI Yinghong;LI Liulin;LIU Changdi;LI Yongqing;LIU Shi＇an(Mianyang Center for Disease Control and Prevention, Sichuan 621000, China)

机构地区：[1]绵阳市疾病预防控制中心,四川621000

出　　处：《医学动物防制》2018年第6期609-610,共2页Journal of Medical Pest Control

基　　金：四川省卫生厅2010年科研课题资助项目(100311)

摘　　要：目的对一起一犬伤多人事件进行分析,评价预防处置措施效果,为规范化处置一犬伤多人事件提供依据。方法采用描述性流行病学调查方法对一起一犬伤多人事件的犬只和暴露者情况、处置措施和随访转归进行分析。结果一犬共伤11人,犬被打死、焚烧后深埋处理,犬脑组织检测出狂犬病病毒。11名暴露者有1名为Ⅱ级暴露,其余均为Ⅲ级暴露。均在24 h内接受伤口处理、接种疫苗和血清。捕杀犬只386只,免疫犬只325只。随访5年,11名暴露者未发病,当地未发生犬间和人间狂犬病疫情。结论一犬伤多人事件发生狂犬病风险高,暴露后及时进行规范处置可有效预防狂犬病。多部门合作对一犬伤多人事件的处置具有积极意义。Objective To analyze the event where several people were bitten by one dog,evaluate the effect of prevention and disposal measures and provide basis for normalizing the disposal of such events. Methods Descriptive epidemiological methods were used to analyze the dog and the exposed people,the disposal measures and the follow-up outcome. Results A total of 11 people were bitten by the dog. The dog was killed and was buried deeply after incineration. Rabies virus was detected in canine encephalic tissues. Among the ll exposed people,one was in grade Ⅱ exposure and the others were in grade Ⅲ exposure. All of them had been given wound management,vaccination and serums within 24 hours. A total of 386 dogs and 325 immune dogs had been captured and killed. The 11 exposed people didn＇ t develop illness and there was no rabies outbreak among dogs and humans in local area in 5 years follow-up. Conclusion There is a high risk of rabies outbreak in the event where several people are bitten by one dog and given normalized disposal in time after exposure can effectively prevent rabies. Multi-sector cooperation has active significance for the disposal of such events.

关 键 词：狂犬病 犬伤多人事件 暴露后免疫 

分 类 号：R646[医药卫生—外科学]