动物咬伤模式和狂犬病暴露后预防:孟加拉国热带传染病研究所(BITID)的一年研究

Chattagram Maa-O-Shishu Hospital Medical College Journal Pub Date : 2021-05-25 DOI:10.3329/CMOSHMCJ.V20I1.53588

Mamunur Rashid, M. Chowdhury, Hossain Rashid Chowdhury

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引用次数: 1

摘要

背景:狂犬病是一种全球性疾病，在包括孟加拉国在内的150多个国家发生。在2010年之前，孟加拉国忽视了狂犬病，每年有超过2000例狂犬病病例。由于预防狂犬病所需资源的增加，全世界狂犬病患者的数量正在下降。在此背景下，我们的目标是研究狂犬病暴露后预防(PEP)并观察孟加拉国热带和传染病研究所(BITID)的动物咬伤模式，该研究所是孟加拉国处理热带和传染病的国家研究所。材料和方法:对2017年1月1日至2017年12月31日在BITID就诊的咬伤患者(包括室外和室内)进行回顾性研究，并对所有接触后治疗进行登记。在研究期间，共有1863例动物咬伤患者来到BITID。最后对数据进行分析。结果:1836例患者中，男性1185例(63.66%)，女性678例(34.44%)。12岁以上1155例(62%)，12岁以下708例(38%)，ⅲ类咬伤815例(43.74%)。犬咬伤1386例(74.4%)，下肢咬伤1110例(59.6%)。1138例(61.1%)来自农村地区，主要发生在2017年3月至9月。结论:动物咬伤是孟加拉国的重大负担。为了预防狂犬病，我们需要提高公众意识，大规模犬类接种疫苗，控制流浪狗，并按照孟加拉国政府国家狂犬病消除规划的时间表完成暴露后预防。上海医科大学医学院;第2期(1);2021年1月;页面51-54

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Pattern of Animal Bites and Post Exposure Prophylaxis for Rabies: An One Year Study in Bangladesh Institute of Tropical Infectious Disease (BITID) Chattogram

Background: Rabies is a global disease occurring in more then 150 countries including Bangladesh. It was neglected in Bangladesh before 2010 with more than 2000 annual rabies case. Number of rabies patients are declining in whole world due to more availability of resources needed for rabies prevention. In this background here our objective is to study the Post Exposure Prophylaxis (PEP) in rabies & to observe the pattern of animal bites in Bangladesh Institute of Tropical and Infectious Disease (BITID) which is a national institute dealing Tropical & Infectious disease of Bangladesh. Materials and methods: It was a retrospective study carried out among bite patients coming to BITID (Both outdoor & indoor) from 01.01.2017 to 31.12.2017 where a registry of all post exposure treatment was maintained. Total 1863 cases of animal bite patients came to BITID over the study period. The data were analyzed finally. Results: Among 1836 cases, 1185(63.66%) were male and 678 (34.44%) were female. 1155 cases (62%) belonged to >12 years of age and 708 (38%) cases belonged £12 years of age 815(43.74%) cases were category III bite. 1386 (74.4%) cases were bitten by dog & bites in 1110 (59.6%) cases occurred in lower limbs. Most patients 1138 cases (61.1%) came from rural areas & maximum bites occurred from March 2017 to September 2017. Conclusion: Animal bite is a great burden for Bangladesh. To prevent it we need public awareness, mass dog vaccination, street dog control and complete post exposure prophylaxis as per schedule given by national rabies elimination program of Bangladesh government. Chatt Maa Shi Hosp Med Coll J; Vol.20 (1); January 2021; Page 51-54

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Chattagram Maa-O-Shishu Hospital Medical College Journal

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