Abstract

Objectives This study aimed to determine the epidemiological and medical features of suspected rabies exposures at a pediatric emergency department in a small city center in middle-northern Turkey.

Methods Data were abstracted from a standard “Rabies Suspected Animal Contact Cases Examination Form.” The following information was recorded: sociodemographic and clinical features of the victim, history of rabies vaccination, date of event, time to hospital administration, animal species and its vaccination history with owner records, type of suspected contact, wound care, tetanus prophylaxis, rabies vaccination, and forensic notifications. Immunoprophylaxis was determined as “appropriate” or “inappropriate” in accordance with the Rabies Field Guideline (2014).

Discussion A total of 306 cases were evaluated at the emergency department of the hospital. The age of the victims ranged between 1.5 and 17 years old, and 61.4% of them were males. Cat scratches were the most common source of suspected rabies exposure. Meanwhile, primary wound care and tetanus immunoprophylaxis were the frequent inappropriate medical applications. Rabies prophylaxis was completed in 76.5% of the cases. However, forensic notifications were missing. In addition, the rate of animal immunization was lower than it should be.

Conclusion Our city is rabies free; however, risky exposures are frequent among children. Lack of knowledge about first aid and animal vaccination is revealed to be a major public health problem. Health care workers should follow current guidelines to provide a holistic approach to the treatment of potential rabies exposures.

Publication History

Received: 28 February 2020

Accepted: 10 June 2020

Publication Date:
26 August 2020 (online)

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

中文翻译：

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儿科急诊科暴风后预防狂犬病的故事

摘要

目的 这项研究旨在确定土耳其中北部一个小城市中心的儿科急诊室的疑似狂犬病暴露的流行病学和医学特征。

方法 数据是从标准的“狂犬病疑似动物接触病例检查表”中提取的。记录了以下信息：受害人的社会人口统计学和临床​​特征，狂犬病疫苗接种的历史，事件日期，医院管理时间，动物种类及其带有所有者记录的疫苗接种史，可疑接触的类型，伤口护理，预防破伤风，狂犬病疫苗接种和法医通知。根据《狂犬病现场指南》（2014），将免疫预防确定为“适当”或“不适当”。

讨论 医院急诊科共评估了306例病例。受害人的年龄在1.5至17岁之间，其中61.4％是男性。猫抓痕是怀疑患有狂犬病的最常见来源。同时，初级伤口护理和破伤风免疫预防是经常不适当的医学应用。76.5％的病例完成了狂犬病预防。但是，缺少法证通知。此外，动物免疫率低于应有的水平。

结论 我们的城市没有狂犬病。但是，儿童经常暴露于危险的环境中。事实表明，对急救和动物疫苗的了解不足是主要的公共卫生问题。卫生保健工作者应遵循当前的准则，以提供一种整体方法来治疗潜在的狂犬病暴露。

出版历史

收到：2020年2月28日

接受：2020年6月10日

发布日期：
2020年8月26日（在线）

©2020年。Thieme。版权所有。

Georg Thieme Verlag KG
斯图加特·纽约