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《国家狂犬病暴露预防处置工作规范(2023年版)》解读

[Interpretation of the National Regulation for the Rabies Exposure Prophylaxis (2023 Edition)].

作者信息

Liu S, Liu C, Chen Q J, Zhu Z G, Lyu X J, Wang C L, Yin W W

机构信息

Department of Emergency, First Hospital of Peking University, Beijing 100034, China.

Department of Emergency, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2023 Oct 10;44(10):1497-1506. doi: 10.3760/cma.j.cn112338-20230905-00127.

Abstract

Rabies is one of the important zoonotic infectious diseases, with a mortality rate of almost 100%. Rabies is a vaccine preventable disease, and proper rabies exposure prophylaxis can effectively prevent the occurrence of human rabies. In recent years, there has been significant progress in clinical research on the rabies exposure prophylaxis both domestically and internationally. World Health Organization (WHO) released the Rabies Vaccine: WHO Position Paper-April 2018. In order to guide medical institutions of all levels in rabies exposure prophylaxis, the National Administration of Disease Prevention and Control, in conjunction with the National Health Commission of the People's Republic of China, organized the Rabies Vaccine Working Group of the National Immunization Program Technical Working Group and invited experts to revise and issue the National Regulation for the Rabies Exposure Prophylaxis (2023 Edition). This article compares the National Regulation for the Rabies Exposure Prophylaxis (2009 Edition) and interprets the updated key points and supporting basis of the new version of the guidelines to guide clinical application and implementation.

摘要

狂犬病是重要的人畜共患传染病之一,死亡率几乎达100%。狂犬病是一种可用疫苗预防的疾病,正确的狂犬病暴露后预防可有效预防人类狂犬病的发生。近年来,国内外狂犬病暴露后预防的临床研究取得了显著进展。世界卫生组织(WHO)发布了《狂犬病疫苗:WHO立场文件——2018年4月》。为指导各级医疗机构进行狂犬病暴露后预防,国家疾病预防控制局会同中华人民共和国国家卫生健康委员会,组织国家免疫规划技术工作组成立狂犬病疫苗工作组,并邀请专家修订发布了《狂犬病暴露预防处置工作规范(2023年版)》。本文比较了《狂犬病暴露预防处置工作规范(2009年版)》,并解读新版指南更新的要点及支撑依据,以指导临床应用与实施。

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