查谟地区狂犬病病例增加:亟需关注的问题

IF 1.1 Q4 PRIMARY HEALTH CARE
Deepika Dewan, Sahil Langeh, Suresh Kotwal, Rajat Gupta, Dinesh Kumar
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引用次数: 0

摘要

摘要 狂犬病是一种致命的人畜共患病,在印度流行。两种形式的狂犬病,即脑狂犬病和狂犬病,都会导致昏迷和死亡。缺乏对狂犬病的认识是及时采取接触后预防措施的最大障碍,而接触后预防措施可以防止狂犬病发展为临床疾病。 报告 14 例临床疑似狂犬病病例的系列病例。 我们采用了回顾性研究设计。数据收集自查谟政府医学院抗狂犬病科,该院是查谟分区的一家三级护理医院。 我们收集了从 2017 年到 2020 年这三年期间所有患者的数据,这些患者根据典型症状和体征被诊断为临床疑似狂犬病病例,最终因病死亡。 描述性统计用于描述研究结果 在本次描述中,患者的平均年龄为(31±18.6)岁。在 14 例疑似病例中,有 9 例没有接受过任何暴露后预防治疗--既没有接种疫苗,也没有注射血清,而是去找了精神信仰治疗师。其余患者的疫苗接种史要么不完整,要么未知,要么不正确。被狗咬伤后出现症状的中位持续时间为 42 天,范围为 15-180 天。患者在出现症状后的平均存活时间约为 1.8 天。对动物咬伤的认知水平较低,导致患者在被动物咬伤后不寻求医疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rise in rabies cases in Jammu region: A problem that requires urgent attention
ABSTRACT Rabies is a fatal zoonotic disease that is endemic in India. Both forms of rabies, namely, encephalitic and furious, invariably lead to coma and death. Lack of awareness is the most critical barrier in accessing timely post-exposure prophylaxis that can prevent the progression to clinical disease. To report the case series of fourteen clinically suspected rabies cases. We followed a retrospective study design. Data were collected from the Anti Rabies Section of Government Medical College, Jammu, which is a tertiary care hospital of Jammu Division. We collected data of all patients over a period of three years, from 2017 to 2020, who were diagnosed as cases of clinically suspected rabies on the basis of classic signs and symptoms and who finally succumbed to the disease. Descriptive statistics was used to describe the results of the study In the present description, the mean age of the patients was 31 ± 18.6 years. Out of 14 suspected cases, 9 had not received any post-exposure prophylaxis—neither vaccine nor serum—and instead visited spiritual faith healers. The remaining patients had history of either incomplete, unknown, or incorrect vaccination status. Median duration of presentation of symptoms after dog bite was 42 days, with a range of 15–180 days. Mean survival of patients after presentation of symptoms was around 1.8 days Low level of awareness resulted in non-seeking of health-care services after animal bites.
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