McKay N, Wallis L
Royal Gwent Hospital, Newport, UK.
Emerg Med J. 2005 May;22(5):316-21. doi: 10.1136/emj.2003.013805.
Rabies is endemic worldwide, and causes approximately 30 000 deaths per year. In the past 20 years, 12 deaths have occurred in the UK, although all but one case were contracted overseas. We have reviewed the current literature regarding the management of possible rabies exposure in the setting of a UK emergency department. The article offers an overview of rabies, including pathology, risk assessment, and current treatment, including both pre-exposure and post-exposure prophylaxis. We have also included a form online, which allows the correct information to be obtained and recorded prior to seeking advice from the local virology services.
狂犬病在全球范围内流行,每年导致约3万例死亡。在过去20年里,英国发生了12例死亡病例,不过除1例之外,所有病例都是在海外感染的。我们回顾了有关英国急诊科处理可能的狂犬病暴露的当前文献。本文概述了狂犬病,包括病理学、风险评估以及当前的治疗方法,包括暴露前和暴露后预防。我们还在网上提供了一份表格,以便在向当地病毒学服务机构咨询之前获取并记录正确信息。