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尼日利亚乔斯高原州犬咬伤受害者概况:犬咬伤记录回顾(2006 - 2008年)

Profile of dog bite victims in Jos Plateau State, Nigeria: a review of dog bite records (2006-2008).

作者信息

Alabi Olaniran, Nguku Patrick, Chukwukere Silvester, Gaddo Ayika, Nsubuga Peter, Umoh Joliath

机构信息

Nigeria Field Epidemiology and Laboratory Training Program, Nigeria.

National Veterinary Research Institute, Vom, Nigeria.

出版信息

Pan Afr Med J. 2014 Jul 21;18 Suppl 1(Suppl 1):12. doi: 10.11694/pamj.supp.2014.18.1.4341. eCollection 2014.

Abstract

INTRODUCTION

Dogs are the major reservoir of rabies virus in Nigeria; transmission to humans is via a bite by rabid dog. Between 2006 and 2008 National Veterinary Research Institute (NVRI) rabies laboratory reported increased numbers of rabies in dogs and human dog bites. The objective of the study was to use veterinary and health records to develop a profile of bite victims and recommend appropriate public health actions.

METHODS

We used the dog brain specimen result register of Rabies Laboratory of NVRI, from "January, 2006" to "December, 2008" and traced dog bite cases. Structured questionnaires were administered to persons who reported dog bite incident and could be traced. We reviewed records from Evangelical Churches of West Africa (ECWA) clinic from "January, 2006" to "December, 2008" to collect detailed profiles of bite victims.

RESULTS

Bite victims linked to positive dog samples were traced to "ECWA clinic" from "January, 2006" to "December, 2008". Most bite victims were <16 years 141 (72.3%), male 128 (65.6%), and 48.2% had primary school education. Bites were unprovoked 184 (94.4%), mostly on arms. 54.4% victims received complete post exposure prophylaxis (PEP). Majority of the biting dogs were housed and unvaccinated.

CONCLUSION

This study provided important information on the profile of dog bite victims and highlights the need for a sustained awareness and education of children on the dangers of dog bite. It has shown lack of enforcement of regulations for licensing of dogs and rabies vaccination.

摘要

引言

在尼日利亚,狗是狂犬病病毒的主要宿主;狂犬病通过狂犬的咬伤传播给人类。2006年至2008年期间,国家兽医研究所(NVRI)狂犬病实验室报告称,狗患狂犬病及人类被狗咬伤的病例有所增加。本研究的目的是利用兽医和健康记录,描绘出咬伤受害者的概况,并推荐适当的公共卫生行动。

方法

我们使用了NVRI狂犬病实验室从2006年1月至2008年12月的狗脑标本结果登记册,并追踪狗咬伤病例。对报告狗咬伤事件且能够追踪到的人员发放了结构化问卷。我们查阅了西非福音教会(ECWA)诊所从2006年1月至2008年12月的记录,以收集咬伤受害者的详细概况。

结果

与阳性狗样本相关的咬伤受害者可追溯到2006年1月至2008年12月期间的“ECWA诊所”。大多数咬伤受害者年龄小于16岁,有141人(占72.3%),男性128人(占65.6%),48.2%的人接受过小学教育。咬伤多为无故发生,有184起(占94.4%),大多发生在手臂上。54.4%的受害者接受了完整的暴露后预防(PEP)。大多数咬人狗是家养的且未接种疫苗。

结论

本研究提供了关于狗咬伤受害者概况的重要信息,并强调有必要持续提高儿童对狗咬伤危险的认识并开展教育。研究表明,狗的许可和狂犬病疫苗接种的相关规定执行不力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07b3/4199353/b0cabfb8cf03/PAMJ-SUPP-18-1-12-g001.jpg

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