Kilic Bulent, Unal Belgin, Semin Semih, Konakci Serap Kayser
Department of Public Health, Dokuz Eylul University, School of Medicine, 35340 Inciralti-Izmir, Turkey.
Int J Infect Dis. 2006 May;10(3):248-54. doi: 10.1016/j.ijid.2005.05.010. Epub 2006 Feb 3.
The aim of this study was to describe rabies suspected animal bites and post-exposure prophylaxis (PEP) practices in Narlidere District in Turkey between 1999 and 2001.
One thousand five hundred and sixty-nine rabies suspected bite cases reported were identified from the District's rabies surveillance forms.
Males comprised 66.7% of the cases, and 43.5% of the total were under 20 years old. In 74% of cases the animal involved in the bite was a dog. Only 70% of the animals had an owner, and only 17% of the animals had a rabies vaccination certificate. In terms of treatment, 68% of the human cases received PEP, and 21% of cases had an extra (sixth) vaccination dose, which is a substantial burden on the healthcare system, costing half a million US dollars per year. The place where the bite occurred (rural areas), the age of the recipient (more than 10 years old), the animal type (animals other than dogs and cats), lack of a vaccination certificate for the animal, and place of wound treatment (hospital) were significantly associated with PEP application.
In addition to the currently recommended strategy of controlling the dog population and of vaccinating domesticated animals, adults and children should be educated about bite prevention to reduce the number of animal bites.
本研究旨在描述1999年至2001年土耳其纳尔利代雷区疑似狂犬病动物咬伤情况及暴露后预防（PEP）措施。
从该地区狂犬病监测表格中识别出1569例报告的疑似狂犬病咬伤病例。
病例中男性占66.7%，43.5%的病例年龄在20岁以下。74%的咬伤事件涉及的动物是狗。只有70%的动物有主人，只有17%的动物有狂犬病疫苗接种证书。在治疗方面，68%的人类病例接受了PEP，21%的病例额外接种了（第六剂）疫苗，这给医疗系统带来了沉重负担，每年花费50万美元。咬伤发生的地点（农村地区）、接受者的年龄（超过10岁）、动物类型（狗和猫以外的动物）、动物缺乏疫苗接种证书以及伤口处理地点（医院）与PEP应用显著相关。
除了目前推荐的控制犬类数量和给家养动物接种疫苗的策略外，还应教育成人和儿童预防咬伤，以减少动物咬伤的数量。
