Preventable public health challenge: Rabies suspected exposure and prophylaxis practices in southwestern of Turkey

IF 4.7 3区医学 Q1 INFECTIOUS DISEASES

Journal of Infection and Public Health Pub Date : 2021-02-01 DOI:10.1016/j.jiph.2020.12.012

Nefise Oztoprak, Hande Berk, Filiz Kizilates

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引用次数: 3

Abstract

Background

Rabies is found in many countries of the eastern Mediterranean and is one of the most important zoonotic diseases in the world. The study aims to describe rabies suspected exposures (RSE) and rabies prophylaxis practices in Antalya-Turkey between 2010 and 2013.

Methods

All 2513 RSE cases presenting to a rabies vaccination center in Antalya, southwestern Turkey, were retrospectively investigated.

Results

The mean age of the RSE cases was 30.04 ± 19.63 years with male predominance (63.6%). The vast majority was from urban areas (91.7%), and a postexposure rabies vaccination program was applied to 79.7% of participants. Dogs were the primary source of RSE cases (61.2%). The 39.2% of animals were under observation, and 9.53% of them died. Forty-two animals (1.7%) were laboratory confirmed rabid; 61.9% of them were cows. The rabid animal rate in the rural area was significantly higher than the urban area (18.2% versus 0.2%; p = 0.001).

Conclusions

This study includes a large number of RSE cases and prophylaxis practices in southwestern Turkey. Most RSE cases had dog or cat contact. As most RSE cases were in urban areas; more focused efforts should be made for elimination and vaccination of feral dog and cat population in Turkey.

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可预防的公共卫生挑战:土耳其西南部疑似狂犬病暴露和预防措施

狂犬病在地中海东部的许多国家都有发现，是世界上最重要的人畜共患疾病之一。该研究旨在描述2010年至2013年期间土耳其安塔利亚的狂犬病疑似暴露(RSE)和狂犬病预防措施。方法对土耳其西南部安塔利亚某狂犬病预防接种中心收治的2513例RSE病例进行回顾性调查。结果RSE患者平均年龄为30.04±19.63岁，男性占63.6%;绝大多数来自城市地区(91.7%)，79.7%的参与者接受了暴露后狂犬病疫苗接种计划。狗是RSE病例的主要来源(61.2%)。39.2%的动物被观察，9.53%的动物死亡。实验室确诊狂犬病42只(1.7%);其中61.9%是奶牛。农村地区动物狂犬病发病率显著高于城市地区(18.2%比0.2%;p = 0.001)。结论本研究包括土耳其西南部大量RSE病例和预防措施。大多数RSE病例与狗或猫有接触。由于大多数RSE病例发生在城市地区;应更加集中努力消除土耳其的野狗和野猫种群并接种疫苗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES

CiteScore

13.10

自引率

1.50%

发文量

203

审稿时长

96 days

期刊介绍： The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.