Mindekem Rolande, Lechenne Monique, Alfaroukh Idriss Oumar, Moto Daugla Doumagoum, Zinsstag Jakob, Ouedraogo Laurent Tinoaga, Salifou Sahidou
Ministère de la Santé Publique, Tchad.
Centre de Support en Santé Internationale, Tchad.
Pan Afr Med J. 2017 May 10;27:24. doi: 10.11604/pamj.2017.27.24.11464. eCollection 2017.
Canine rabies remains a concern in Africa as well as in Chad. Our study aimed to evaluate the knowledge, attitudes and practices of the populations towards the appropriate management of people exposed to canine rabies and effective fight against it.
We conducted a cross-sectional, descriptive study in four health districts in Chad in July and in September 2015. Data were collected from households recruited by three-stage random sampling by means of a questionnaire.
We conducted a survey of 2428 individuals having completed at least primary education level (54,12%). The average age was 36 ± 13.50 years. Surveyed individuals were farmers (35,17%), merchants (18,04%), households (12.81%). Rabies was defined as a disease transmitted from the dog to the man (41.43%), an alteration in brain function (41.27%), an undernourishment (10.26%). The cat was little-known to be a reservoir(13.84%) and a vector (19,77%) as well as licking was little-known to be a transmission medium (4.61%) and cat vaccination to be a preventive measure (0.49%). First aid for a bite at home was the traditional practice (47,69%), wounds washing (19.48%) or no action undertaken (20.43%). Households consulted the Health Service (78.50%), the Animal Health Service (5.35%) and the traditional healers (27%).
A communication campaing for implementing first aid at home in the event of a bite, knowledge about the cat as a reservoir and a vector and licking as a transmission medium as well as the promotion of the consultation of veterinary services in the event of a bite are necessary.
犬狂犬病在非洲以及乍得仍是一个令人担忧的问题。我们的研究旨在评估民众对于接触犬狂犬病患者的适当管理以及有效防治狂犬病的知识、态度和做法。
2015年7月和9月,我们在乍得的四个卫生区开展了一项横断面描述性研究。通过问卷调查,采用三阶段随机抽样的方式从家庭中收集数据。
我们对至少受过小学教育的2428人(54.12%)进行了调查。平均年龄为36±13.50岁。被调查者包括农民(35.17%)、商人(18.04%)、家庭主妇(12.81%)。狂犬病被定义为一种从狗传播给人的疾病(41.43%)、一种脑功能改变(41.27%)、一种营养不良(10.26%)。很少有人知道猫是狂犬病宿主(13.84%)和传播媒介(19.77%),也很少有人知道舔舐是一种传播途径(4.61%)以及给猫接种疫苗是一种预防措施(0.49%)。在家中对咬伤进行急救的传统做法是(47.69%)、清洗伤口(19.48%)或不采取任何行动(20.43%)。家庭会咨询卫生服务机构(78.50%)、动物卫生服务机构(5.35%)和传统治疗师(27%)。
有必要开展宣传活动,内容包括在被咬伤时实施家庭急救、关于猫作为狂犬病宿主和传播媒介以及舔舐作为传播途径的知识,以及在被咬伤时促进咨询兽医服务。