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接触狂犬病——兽医的职业危害。

Exposure to rabies - an occupational hazard for veterinarians.

作者信息

Martin R J, Schnurrenberger P R, Walker J F

出版信息

Can Vet J. 1982 Nov;23(11):317-22.

PMID:17422197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1790226/
Abstract

Interviews to solicit information about animal bites and rabies vaccinations were completed on 1165 of 1175 non-military veterinarians in Illinois in 1968. Two hundred and sixty-one veterinarians reported 380 exposure incidents that precipitated the administration of rabies vaccine; 72 veterinarians had received two or more series of vaccine. Vaccine was administered after exposure from: examination of a patient (n = 230), bite (n = 79), necropsy (n = 17), other causes (n = 13) and unstated (n = 41). Eighty-six percent of the exposures were to dogs or cattle. In 231 veterinarians receiving postexposure vaccinations, where year of first vaccination and year of graduation from veterinary school were known, 97 (42%) were exposed in the six years spanning one year before graduation and four years after graduation. There were 296 veterinarians, including 12 receiving postexposure vaccination, who had received their first series of vaccine as preexposure prophylaxis. Twenty-one percent of all vaccinees (pre- and postexposure) reported reactions to the rabies vaccine. Seventy-two veterinarians reported they had been treated for an animal bite in the previous year.

摘要

1968年,对伊利诺伊州1175名非军事兽医中的1165人进行了访谈,以获取有关动物咬伤和狂犬病疫苗接种的信息。261名兽医报告了380起促使他们接种狂犬病疫苗的暴露事件;72名兽医接种了两剂或更多剂疫苗。疫苗接种是在因以下原因暴露后进行的:检查患者(n = 230)、被咬伤(n = 79)、尸检(n = 17)、其他原因(n = 13)以及未说明原因(n = 41)。86%的暴露是由狗或牛引起的。在231名接受暴露后疫苗接种的兽医中,已知首次接种疫苗的年份和从兽医学院毕业的年份,其中97人(42%)在毕业前一年到毕业后四年这六年期间暴露。有296名兽医,包括12名接受暴露后疫苗接种的兽医,他们首次接种疫苗是作为暴露前预防措施。所有接种疫苗者(暴露前和暴露后)中有21%报告了对狂犬病疫苗的反应。72名兽医报告他们在前一年曾因动物咬伤接受治疗。

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本文引用的文献

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Pasteurella multocida Infections: I. Pasteurella Multocida Infection Due to Animal Bite.多杀巴斯德菌感染:一、动物咬伤所致多杀巴斯德菌感染
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SEROLOGIC SURVEYS FOR SELECTED ZOONOSES IN OHIO VETERINARIANS.
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Tetanus presenting primarily as trismus.破伤风主要表现为牙关紧闭。
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