Kamat Umesh S, Cacodcar Jagadish A, Raiker Kedar
Department of PSM, Goa Medical College, Bambolim, Goa, India.
PHC Corlim,Directorate of Health Services, Goa, India.
Indian J Occup Environ Med. 2020 May-Aug;24(2):125-127. doi: 10.4103/ijoem.IJOEM_166_19. Epub 2020 Aug 19.
This study was undertaken in 121 field workers in a primary health care set up in Goa to estimate the lifetime and annual incidence dog bite, and to assess their knowledge and practices regarding post-exposure prophylaxis. The annual and lifetime incidence of dog bite was 3.3% and 22.3%, respectively. Based on the comparable figures from studies in general population, Dog-bite seems to be an occupational hazard among these workers. Only 28.9% completed the full course of anti-rabies vaccine with its cost as the major reason for discontinuation. More than 90% consulted traditional healers and wound toilet was done by 70%. The overall knowledge and practices seemed better than those reported in other studies, but continued orientation of the field workers and access to free vaccination at the workplace is of paramount importance.
本研究针对果阿邦一家初级卫生保健机构的121名现场工作人员开展,旨在估算犬咬伤的终生发病率和年发病率,并评估他们在暴露后预防方面的知识和做法。犬咬伤的年发病率和终生发病率分别为3.3%和22.3%。根据一般人群研究的可比数据,犬咬伤似乎是这些工作人员面临的职业危害。只有28.9%的人完成了全程狂犬病疫苗接种,费用是中断接种的主要原因。超过90%的人咨询过传统治疗师,70%的人进行了伤口处理。总体知识和做法似乎比其他研究报告的要好,但对现场工作人员持续进行培训以及在工作场所提供免费疫苗接种至关重要。