Causes of delay in offering rabies post-exposure prophylaxis services in Abadeh district of Iran

作     者：Ahmad Karimi Behnam Karimi Ahmad Karimifard Nabiollah Taherimotlagh Amin Kasraei Fatemeh Safikhani Fatemeh Majidpour Mohammad Yandarani Ahmad Karimi;Behnam Karimi;Ahmad Karimifard;Nabiollah Taherimotlagh;Amin Kasraei;Fatemeh Safikhani;Fatemeh Majidpour;Mohammad Yandarani

作者机构：Department of Communicable Disease Surveillance&ControlAbadeh Health CenterShiraz University of Medical SciencesShirazIran Department RescueAbadeh Red Crescent SocietyFars Red Crescent SocietyShirazIran Departments of Biostatistics and EpidemiologySchool of Public HealthShahid Sadoughi University of Medical SciencesYazdIran Department of Communicable Disease Surveillance&ControlAhram Health CenterBushehr University of Medical SciencesBushehrIran 

出 版 物：《Journal of Acute Disease》 (急性病杂志（英文版）)

年 卷 期：2020年第9卷第1期

页      面：20-26页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：The researchers greatly appreciate all health experts and health professionals  who worked hard to educate clients  referred the victims to the rabies treatment centers and followed the victims' vaccination process. We also thank the authority of the "combatingwith diseases in cities" department  who provided us with very good information 

主　　题：Rabies Zoonosis Post-exposure prophylaxis Rabies vaccines Abadeh 

摘      要：Objective:To identify the reasons for delayed reception of post-exposure prophylaxis(PEP).Methods:In this cross-sectional study,a total of 1407 individuals with animal bites who were referred to the Abadeh Rabies Treatment Center were investigated using the census method from January 2012 to December *** patients were divided into two groups based on their delay times to referral and receive PEP:timely referral(less than 48 h after the bite)and delayed referral(equal to or longer than 48 h after the bite).Frequency,Chi-square,and logistic regression tests were ***:.The average delay time was(16.33±11.37)*** level of education(OR:3.87;95%CI:1.19-12.54;P=0.02),active economic age(21-35 and 36-50 years-old,OR:12.81;95%CI:3.16-51.97;P0.001 and OR:3.83,95%CI:3.83-58.61;P0.001 respectively),occupation(OR:9.16;95%CI:1.89-44.29;P=0.006),long distance from the rabies treatment center(OR:3.41;95%CI:2.03-5.72;P0.001),bites by household and domestic animals(OR:12.22;95%CI:2.29-65.18,P=0.003),superficial injuries(OR:4.51;95%CI:1.38-14.73;P=0.01),and residence in rural area(OR:12.74;95%CI:6.58-24.66;P0.001)had significant correlations with delayed referral of ***:To reduce the delay time,the high-risk groups should be informed about the importance of timely referral via educational ***,rabies treatment services should be rendered at the nearest possible center.