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暴露后预防中狂犬病疫苗接种的依从性。

Compliance to anti-rabies vaccination in post-exposure prophylaxis.

作者信息

Shankaraiah Ravish Haradanahalli, Rajashekar Rachana Annadani, Veena Vijayashankar, Hanumanthaiah Ashwath Narayana Doddabele

机构信息

Associate Professor, Department of Community Medicine, Kempegowda Institute of Medical Sciences (KIMS), Bangalore, India.

出版信息

Indian J Public Health. 2015 Jan-Mar;59(1):58-60. doi: 10.4103/0019-557X.152867.

Abstract

Complete post-exposure prophylaxis is necessary to prevent rabies among all animal bite victims. It is essential for the bite victims to complete the full course of vaccination as recommended for complete protection. The present study was conducted to determine the compliance rate for anti-rabies vaccination by both intramuscular route and intradermal route and to determine the major constraints. The study was done at two municipal corporation hospitals in Bangalore, India. The compliance rate for intramuscular rabies vaccination was 60.0% and for intradermal rabies vaccination 77.0%. The major constraints were loss of wages, forgotten dates, cost incurred and distance from the hospital. Hence, the present study showed that the compliance to anti-rabies vaccination for post-exposure prophylaxis is low and is a cause of concern, as animal bite victims who do not complete the full course of vaccination are still at risk of developing rabies.

摘要

对所有动物咬伤受害者进行完整的暴露后预防是预防狂犬病所必需的。咬伤受害者必须按照推荐完成全程疫苗接种以获得全面保护。本研究旨在确定肌肉注射和皮内注射抗狂犬病疫苗的依从率,并确定主要制约因素。该研究在印度班加罗尔的两家市政公司医院进行。肌肉注射狂犬病疫苗的依从率为60.0%,皮内注射狂犬病疫苗的依从率为77.0%。主要制约因素包括工资损失、忘记接种日期、产生的费用以及距离医院的远近。因此,本研究表明,暴露后预防的抗狂犬病疫苗接种依从性较低,令人担忧,因为未完成全程疫苗接种的动物咬伤受害者仍有感染狂犬病的风险。

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