影响中国儿童狂犬病病例数的因素。

Miao Song, Qing Tang, Simon Rayner, Xiao Yan Tao, Xin Xin Shen, Guo Dong Liang
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引用次数: 8

摘要

为了解中国儿童狂犬病的流行情况及影响因素,我们根据儿童狂犬病病例的个体数据,对目前的流行情况进行了概述,并对流行情况及相关因素进行了描述性分析。结果表明,儿童狂犬病病例占全国狂犬病病例总数的21.3%,其中97.0%发生在农村地区,以犬类感染为主(81.5%),以III级暴露为主(47.7%)。超过一半的病例未进行伤口护理,疫苗接种率极低(15.7%),只有5.9%的病例注射了抗体。此外,25.4%的病例采用了挤压出血、缝合等不正确的治疗方法,接种5次疫苗的病例仅占22.5%。综上所述,中国儿童狂犬病患病率仍然是一个严重的问题,在未来的狂犬病预防和控制规划中,应考虑农村地区犬的数量和免疫状况,以及危险人群的狂犬病知识。
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Factors influencing the number of rabies cases in children in China.

To understand the epidemic situation and factors influencing rabies cases in children in China, we obtained an overview of the current epidemic based on individual data of rabies cases in children and a descriptive analysis was carried on the prevalence and related factors. The results showed that the rabies cases in children accounted for 21.3% of the total number of rabies cases in China, 97.0% of these cases occurred in rural areas, they were mainly caused by dogs (81.5%), and were primarily level III exposure (47.7%). More than half of the cases were not treated with wound care, vaccination rate was extremely low (15.7%), and only 5.9% of cases were injected with antibodies. Furthermore, 25.4% of cases adopted incorrect treatments such as extruding bleed and wound closure, cases vaccinated with 5 injections accounted for only 22.5%. In conclusion, the prevalence of rabies cases in children in China remains a serious concern, the number and immune status of dogs in rural areas, and knowledge of rabies by risk populations should be considered in future rabies prevention and control programs.

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