农村社区狗咬伤流行情况:尼日利亚克罗斯河州Okoyong 15年病例回顾

M. Asuquo, W. Ndifon, G. Ugare, J. Mwankon
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引用次数: 2

摘要

本回顾性研究旨在评估尼日利亚南南奥科永综合保健中心的狗咬伤流行情况。在15年期间(1990-2004年),在总共25,000例患者中记录了11例狗咬伤。由此得出的患病率为每10万人中有44人。患者年龄16 ~ 43岁,平均27.1+ 8.3岁。男女比例为1:0.8。患者的治疗包括止痛剂、抗生素、破伤风类毒素和抗破伤风血清。我们没有任何记录的狂犬病病例,尽管没有患者接种狂犬病疫苗或抗狂犬病免疫球蛋白。所有患者均报到较晚,平均发病时间为10.23天。随访非常差,因为大多数患者在初次治疗后从未报告过门诊随访或入院后出院。我们得出结论,该卫生中心的狗咬伤发生率很低(0.04%)。我们建议进行更全面的以社区为基础的研究,以充分评估这一问题的负担。目前有关狗咬伤管理的规定,主治医务人员应严格遵守。关键词:鄂阳县;犬咬伤;患病率;
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Prevalence Of Dog Bites In A Rural Community: A 15 Year Review Of Cases In Okoyong, Cross River State, Nigeria
This retrospective study was undertaken to assess the prevalence of dog bites in Comprehensive Health Centre, Okoyong south-south Nigeria. Eleven cases of dog bite were recorded out of a total of 25,000 patients seen during a fifteen- year period (1990-2004). This gives a prevalence of 44 per 100,000 population. The age of the patients ranged from 16 to 43 years, with a mean of 27.1+ 8.3. Male to female ratio was 1:0.8. The treatment of patients consisted of analgesics, antibiotics, tetanus toxoid and antitetanus serum. We did not have any recorded case of rabies, in spite of the fact that none of the patients had rabies vaccination nor antirabies immunoglobulin. All the patients reported late to hospital, the mean duration before presentation being 10.23 days. The follow up was extremely poor as most patients never reported for follow up after the initial treatment as outpatient or discharge following admission. We conclude that the prevalence of dog bites in this health centre is low (0.04%).We recommend more comprehensive community-based studies to adequately assess the burden of this problem. Current regulations on the management of dog bites should be strictly followed by the attending medical personnel. KEY WORDS: Okoyong, Dog bites, Prevalence.
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