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目的分析陕西省铜川市狂犬病Ⅲ级暴露人群使用被动免疫制剂的影响因素。方法选取2014年9月1日—2015年8月31日陕西省铜川市犬伤门诊狂犬病Ⅲ级暴露者共451人进行调查,采用SPSS 13.0软件进行描述性统计分析和单因素、多因素非条件logistic回归分析。结果铜川市犬伤门诊狂犬病Ⅲ级暴露者被动免疫制剂接种率为30.8%(139/451),年龄>15岁(OR=1.278,95%CI=1.038~1.572)、在农村居住(OR=2.438,95%CI=1.478~4.021)、多部位暴露(OR=2.486,95%CI=1.135~5.447)、被流浪犬猫致伤(OR=2.153,95%CI=1.187~3.906)、人均月收入>1 000元(OR=2.588,95%CI=1.915~3.499)、处置费用由犬主或保险支付者(OR=4.313,95%CI=2.076~8.958)是铜川市狂犬病Ⅲ级暴露者狂犬病被动免疫制剂接种率高者。结论铜川市犬伤门诊狂犬病Ⅲ级暴露者被动免疫制剂接种率低,年龄、居住地、多部位暴露、致伤动物来源、人均月收入及处置费用支付者是影响被动免疫制剂使用的主要因素。
Objective To analyze the influential factors of using passive immunization in rabies Ⅲ population of Tongchuan City in Shaanxi Province. METHODS: From September 1, 2014 to August 31, 2015, a total of 451 rabies-resistant stage III exposed dogs in Tongchuan, Shaanxi Province were selected for investigation. SPSS 13.0 software was used for descriptive statistical analysis and univariate and multivariate non-conditional Logistic regression analysis. Results Inoculation rate of passive immunization was 30.8% (139/451) and age> 15 years (OR = 1.278, 95% CI = 1.038-1.572) (OR = 2.486, 95% CI = 1.135-5.447) were stray dogs (OR = 2.153, 95% CI = 1.187-3.906). The average monthly income per capita (OR = 4.313, 95% CI = 2.076 ~ 8.958) was the third grade of rabies in Tongchuan rabies Immunization vaccination rate is high. Conclusions Inoculation rate, age, residence, multi-site exposure, source of animal injury, per capita monthly income and disbursement costs of passive immunization preparations are the main factors influencing the use of passive immunization preparations.