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Preventable public health challenge: Rabies suspected exposure and prophylaxis practices in southwestern of Turkey.

可预防的公共卫生挑战: 土耳其西南部疑似狂犬病暴露和预防实践。

  • 影响因子:2.09
  • DOI:10.1016/j.jiph.2020.12.012
  • 作者列表:"Oztoprak N","Berk H","Kizilates F
  • 发表时间:2021-02-01
Abstract

BACKGROUND:Rabies is found in many countries of the eastern Mediterranean and is one of the most important zoonotic diseases in the world. The study aims to describe rabies suspected exposures (RSE) and rabies prophylaxis practices in Antalya-Turkey between 2010 and 2013. METHODS:All 2513 RSE cases presenting to a rabies vaccination center in Antalya, southwestern Turkey, were retrospectively investigated. RESULTS:The mean age of the RSE cases was 30.04±19.63 years with male predominance (63.6%). The vast majority was from urban areas (91.7%), and a postexposure rabies vaccination program was applied to 79.7% of participants. Dogs were the primary source of RSE cases (61.2%). The 39.2% of animals were under observation, and 9.53% of them died. Forty-two animals (1.7%) were laboratory confirmed rabid; 61.9% of them were cows. The rabid animal rate in the rural area was significantly higher than the urban area (18.2% versus 0.2%; p=0.001). CONCLUSIONS:This study includes a large number of RSE cases and prophylaxis practices in southwestern Turkey. Most RSE cases had dog or cat contact. As most RSE cases were in urban areas; more focused efforts should be made for elimination and vaccination of feral dog and cat population in Turkey.

摘要

背景: 狂犬病在地中海东部的许多国家都有发现,是世界上最重要的人畜共患病之一。该研究旨在描述2010年至2013年期间安塔利亚-土耳其疑似狂犬病暴露 (RSE) 和狂犬病预防实践。 方法: 对土耳其西南部安塔利亚狂犬病疫苗接种中心的所有2513例RSE病例进行回顾性调查。 结果: RSE患者的平均年龄为30.04 ± 19.63岁,男性占63.6%。绝大多数来自城市地区 (91.7%),暴露后狂犬病疫苗接种计划适用于79.7% 的参与者。犬是RSE病例的主要来源 (61.2%)。39.2% 的动物在观察中,其中9.53% 的动物死亡。42只动物 (1.7%) 是实验室证实的狂犬病; 其中61.9% 是奶牛。农村地区的狂犬病动物发病率显著高于城市地区 (18.2% 比0.2%; p = 0.001)。 结论: 这项研究包括土耳其西南部的大量RSE病例和预防实践。大多数RSE病例有狗或猫接触。由于大多数RSE病例发生在城市地区; 应更加集中努力消除和接种土耳其的野狗和猫种群。

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影响因子:2.68
发表时间:2021-02-01
DOI:10.1080/14656566.2020.1814255
作者列表:["Sawada H","Oeda T","Kohsaka M","Tomita S","Umemura A","Park K","Yamamoto K","Kiyohara K"]

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DOI:10.1007/s11033-021-06299-9
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