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狂犬病流行地区的旅行者是否应该接受暴露前狂犬病免疫?

Should travellers in rabies endemic areas receive pre-exposure rabies immunization?

作者信息

Phanuphak P, Ubolyam S, Sirivichayakul S

机构信息

Queen Saovabha Memorial Institute, Science Division, Thai Red Cross Society, Bangkok, Thailand.

出版信息

Ann Med Interne (Paris). 1994;145(6):409-11.

PMID:7864502
Abstract

A questionnaire survey was conducted in 1,882 foreign travellers, 74% of which were Europeans, after being in Thailand for an average of 17 days, about the history of potential rabies exposure during their visits. Dog bite and dog lick were experienced in 1.3% and 8.9% of the travellers respectively. The exposed individuals tended to stay in Thailand longer and the incidents occurred mainly in cities rather than in the rural areas. Thirty-one (1.6%) of all travellers had a history of rabies vaccination, 9 as a result of dog bite or dog lick in Thailand whereas the remaining 22 had already received the vaccine prior to coming to Thailand. Such high prevalences of potential rabies exposure and rabies vaccination may justify the inclusion of rabies vaccine into the multiple vaccination program for travellers to rabies endemic countries. This was favoured by over half of the travellers interviewed.

摘要

对1882名外国游客进行了问卷调查,这些游客在泰国平均停留17天后,74%为欧洲人,调查内容是他们在泰国期间可能接触狂犬病的病史。分别有1.3%和8.9%的游客被狗咬伤和被狗舔过。暴露者在泰国停留的时间往往更长,事件主要发生在城市而非农村地区。所有游客中有31人(1.6%)有狂犬病疫苗接种史,其中9人是因为在泰国被狗咬伤或被狗舔过,其余22人在来泰国之前就已经接种过疫苗。潜在狂犬病暴露和狂犬病疫苗接种的高流行率可能证明将狂犬病疫苗纳入前往狂犬病流行国家的旅行者多重疫苗接种计划是合理的。超过一半接受采访的旅行者对此表示赞同。

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