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目的了解浙江省温州市狂犬病暴露人群以及犬伤门诊服务情况,为规范建设犬门诊和防控狂犬病提供依据。方法收集2011年温州市狂犬病疫情资料和各犬伤门诊狂犬病暴露人群基本情况及处置记录,设计调查表对全市范围内所有开展狂犬病暴露处置的疾控机构和医疗机构的犬伤门诊开展现场调查。结果 2011年共报告狂犬病5例,全部死亡。全市狂犬病暴露人数为48 268例,其中被犬致伤39 782例,其他动物致伤8486例。全市共有犬伤门诊158家,其中89.24%设在乡镇卫生院(社区卫生服务中心),50%具有完整的功能分区,10家为独立设置门诊,仅有17.09%门诊采用双相冷热供水,80.38%的犬伤门诊诊室或附近配有伤口清洗设施。有50家提供24 h接诊病例。门诊医护人员大多兼职,最少1人,最多14人。结论温州市是狂犬病自然疫源地,狂犬病暴露人群较多,存在狂犬病流行危险。各地犬伤门诊设置差别较大,应整合资源规范建设犬伤门诊。
Objective To understand the situation of rabies exposed population and dog outpatient service in Wenzhou City, Zhejiang Province, and to provide basis for regulating the construction of dog clinic and preventing and controlling rabies. Methods The data of rabies epidemic in Wenzhou City in 2011 and the records of rabies-exposed rabies in each dog were collected and the questionnaire was designed to carry out on-site investigation on all dog-infected outpatient clinics of CDC and medical institutions that carried out rabies exposure in the city. Results A total of 5 rabies cases were reported in 2011 and all died. The number of rabies exposed in the city was 48 268, of which 39 782 were dog-injured and 8 486 were injured by other animals. There are 158 dog-friendly clinics in the city, of which 89.24% are located in township hospitals (community health service centers), 50% have complete functional zoning, 10 are independently set up clinics, and only 17.09% use out- 80.38% of dogs in the clinic or near the clinic with wound cleaning facilities. There are 50 cases to provide 24 h admissions. Most outpatient medical staff part-time, at least 1 people, up to 14 people. Conclusion Wenzhou City is a natural epidemic of rabies, rabies exposure is more, there is a risk of rabies epidemic. Dogleg outpatient settings vary widely across the country and should be integrated with resources to standardize the construction of dog injuries.