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Epidemiology of Animal Bites and Associated Factors with Delay in Post-Exposure Prophylaxis; A Cross-Sectional Study

机译:动物咬伤的流行病学及相关因素在暴露后预防中的延迟;跨部门研究

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Objective: To address the epidemiology of animal bites and associated factors with delay in post-exposure prophylaxis (PEP) in Nahvand district, western Iran.Methods: Data were obtained from Rabies Treatment Center (RTC) in Nahavan district from March 2015 to March 2017. All of referred cases to RTC include 1448 cases of animal bites using the census method were recruited. Epidemiological profile of participants was demonstrated using descriptive statistics and determinants of PEP was addressed by logistic regression model.Results: The majority of victims were males 1167(80.5%). superficial bites were more prevalent than deep status injuries (1145(79.0%) VS. 303(20.9%)). The biting rate differed according to season in the period of the study (p0.001). Cases who experienced animal biting in the autumn was more likely to refer timely for PEP than cases in spring season (OR, 0.39; 95% CI: 0.26 - 0.59, p0.001).Conclusion: Our findings addressed the pattern of potential delays in PEP including the role of season. Local authorities of Nahavand district should considered preventive activities and educational interventions to reduce animal biting and provide timely prophylaxis.
机译:目的:解决伊朗西部纳哈德地区动物咬伤的流行病学和暴露后预防(PEP)延迟的方法。方法:数据来自2015年3月至2017年3月纳哈旺地区的狂犬病治疗中心(RTC)收集了所有涉及RTC的病例,其中包括1448例使用普查方法被动物咬伤的病例。使用描述性统计数据显示参与者的流行病学特征,并通过logistic回归模型解决PEP的决定因素。结果:多数受害者是男性1167(80.5%)。浅口咬伤比深部状态伤更为普遍(1145(79.0%)对303.(20.9%))。在研究期间,咬伤率根据季节而有所不同(p <0.001)。与春季相比,在秋天遭受动物咬伤的患者更可能及时转诊PEP(OR,0.39; 95%CI:0.26-0.59,p <0.001)。结论:我们的发现解决了潜在的延迟性模式。 PEP包括季节的作用。纳哈万德地区的地方当局应考虑开展预防活动和教育干预措施,以减少动物咬伤并及时提供预防措施。

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