淄博市2824例狂犬病暴露者疫苗接种依从性分析

发布时间：2018-05-20 04:23

本文选题：狂犬病 + 疫苗接种　；参考：《现代预防医学》2014年07期

【摘要】：目的了解淄博市狂犬病暴露者疫苗接种的依从性情况,为提高依从性的数据支持。方法依据2012年1-12月淄博市疾病预防控制中心接种门诊因动物损伤而就诊的病人登记情况,对狂犬病暴露者的疫苗接种情况进行依从性分析。结果接诊的2 824例狂犬病暴露者中,完全遵从医嘱全程接种者2 372例,疫苗接种依从性为83.99%;Ⅲ级暴露者的依从性明显好于Ⅱ级暴露者,前三针的依从性较高,第四、五针明显下降;暴露者在0~15岁、15~50岁和50岁以上组的依从性分别为93.76%、80.18%、86.70%;儿童的依从性明显好于青壮年,城区居民的依从性明显高于农村(P0.05)。不依从的主要原因依次为接种时间长、次数多(占39.38%)、其他如交通、遗忘等(占19.91%)、费用较高(占19.25%)、狂犬病认识不足(占15.93%)、药物副反应(占5.53%)。结论多种因素导致淄博市狂犬病暴露者疫苗接种的依从性还有待提高,应通过加强医患沟通和健康宣传,推广2-1-1程序,提高依从性,更有效地预防本市狂犬病的发生。
[Abstract]:Objective to investigate the vaccination compliance of rabies exposed persons in Zibo city and to provide data support for improving compliance. Methods according to the registration of patients with animal injury in Zibo Disease Prevention and Control Center from January to December 2012, the compliance of rabies exposed patients was analyzed. Results among the 2 824 cases of rabies exposed to rabies, 2 372 cases were inoculated completely according to the doctor's orders, the vaccination compliance was 83.99, the compliance of the third class exposure group was obviously better than that of the second class exposure group, the first three needle compliance was higher. The compliance of the exposed persons aged 15 and above was 93.76 / 80.18 and 86.70 respectively, and the compliance of children was obviously better than that of young adults, and the compliance of urban residents was obviously higher than that of rural population (P 0.05). The main reasons for noncompliance were long inoculation time, many times (39.38%), others such as traffic, forgetting and so on (19.91%, higher cost (19.2525%), lack of knowledge of rabies (15.93%), side effects of drugs (5.53%). Conclusion the compliance of rabies exposed to rabies vaccination in Zibo should be improved by many factors. It is necessary to promote 2-1-1 procedure to prevent rabies in Zibo by strengthening communication between doctors and patients and health propaganda.
【作者单位】：山东省淄博市疾病预防控制中心;
【分类号】：R186

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