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印度卡纳塔克邦班加罗尔附近农村地区通过接触者追踪调查狂犬病暴露情况的探索性研究。

An exploratory study on rabies exposure through contact tracing in a rural area near Bengaluru, Karnataka, India.

机构信息

Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.

Department of Community Medicine, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India.

出版信息

PLoS Negl Trop Dis. 2018 Aug 6;12(8):e0006682. doi: 10.1371/journal.pntd.0006682. eCollection 2018 Aug.

Abstract

NEED FOR STUDY

Rabies is a neglected zoonotic disease. Given the low incidence, apart from the existing reporting syst, there is a need to look for other means of case detection strategies for rabies. Contact tracing is one such method to efficiently capture information.

OBJECTIVES

To find out the rabid status of biting animal through contact tracing and to determine health seeking behavior of the bite victims.

MATERIALS AND METHODS

An exploratory study using contact tracing was conducted during the first quarter of 2017 in villages coming under three Public Health Centers. The households of the bite victims were visited and details of rabies exposure obtained from the bite victim/ adult responsible respondent using a standardized questionnaire.

RESULTS

A total of 69 dog/cat bite cases were identified. 69.5% of bites were by stray dogs. 97.1% bite victims had Category III bites. Only 4.5% bite victims had taken PEP. 70.1% of animal bite cases were administered ARV. Only 7.2% bite victims had exposure to probable rabid animals. All dog bite victims were alive after 3 months of follow up.

CONCLUSION

Contact tracing was successful in case detection of probable rabid animal exposures and suitable for a period of one year.

摘要

研究需求

狂犬病是一种被忽视的动物源性传染病。鉴于其发病率较低,除现有的报告系统外,还需要寻找其他的病例检测策略来发现狂犬病。接触者追踪就是这样一种有效的信息收集方法。

目的

通过接触者追踪来了解咬伤人的动物的狂犬病状态,并确定咬伤受害者的就医行为。

材料与方法

2017 年第一季度,在三个公共卫生中心管辖的村庄中进行了一项探索性研究,使用接触者追踪。对咬伤受害者的家庭进行了走访,并使用标准化问卷从咬伤受害者/成年责任人那里获得有关狂犬病暴露的详细信息。

结果

共发现 69 例狗/猫咬伤病例。97.1%的咬伤是由流浪狗造成的,69.5%的咬伤属于三级暴露。仅有 4.5%的咬伤受害者接受了 PEP(暴露后预防)治疗。仅 7.2%的动物咬伤病例接受了 ARV(抗狂犬病病毒药物)治疗。只有 7.2%的咬伤受害者接触过可能患有狂犬病的动物。所有狗咬伤受害者在随访 3 个月后均存活。

结论

接触者追踪成功地发现了可能患有狂犬病的动物暴露病例,适合进行为期一年的追踪。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a4/6095631/2e15d6ca0321/pntd.0006682.g001.jpg

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