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

Journal of Acute Disease 2020年第1期9卷 20-26页

作者： Ahmad Karimi Behnam Karimi Ahmad Karimifard nabiollah taherimotlagh Amin Kasraei Fatemeh Safikhani Fatemeh Majidpour Mohammad Yandarani Department of Communicable Disease Surveillance&Control Abadeh Health CenterShiraz University of Medical SciencesShirazIran Department Rescue Abadeh Red Crescent SocietyFars Red Crescent SocietyShirazIran Departments of Biostatistics and Epidemiology School of Public HealthShahid Sadoughi University of Medical SciencesYazdIran Department of Communicable Disease Surveillance&Control Ahram Health CenterBushehr University of Medical SciencesBushehrIran

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;P<0.001 and OR:3.83,95%CI:3.83-58.61;P<0.001 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;P<0.001),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;P<0.001)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.

关键词： Rabies Zoonosis Post-exposure prophylaxis Rabies vaccines Abadeh

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Epidemiological patterns of animal bites in Abadeh district of central Iran from 2012 to 2018: A cross-sectional study

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Journal of Acute Disease 2019年第6期8卷 265-268页

作者： Ahmad Karimi Behnam Karimi Ahmad Karimifard nabiollah taherimotlagh Amin Kasraei Mohammad Yandarani Fatemeh Safikhani Fatemeh Majidpour Department of Communicable Disease Surveillance&Control Abadeh Health CenterShiraz University of Medical SciencesShirazIran Department of Rescue Abadeh Red Crescent SocietyFars Red Crescent SocietyShirazIran Department of Communicable Disease Surveillance&Control Ahram Health CenterBushehr University of Medical SciencesBushehrIran Departments of Biostatistics and Epidemiology School of Public HealthShahid Sadoughi University of Medical SciencesYazdIran

Objectives:To investigate the epidemiology of animal bites and associated factors in Abadeh district(central Iran)from 2012 to ***:In this cross-sectional study,1407 individuals with animal bites who were referred to the Abadeh Rabies Treatment Center were investigated by using the census method from 2012 to *** variables included the victim's demographic information(age,gender,occupation),the type of biting animals(dog,cat,and other animals),the domesticated and wild animals,the time of biting based on year and month,the residence location(urban or rural),the treatment status,and the anatomical location of the ***:The annual incidence rate of animal bites was 189.62 per 100000 *** 83.4%of the victims were *** average age was(33.66±18.97)years and individuals in the age range of 36-50 years were greater at *** of the animal bites were from dogs(77.8%).About two thirds(62.1%)of the bites were from household animals.A total of 57.1%of individuals lived in urban *** victims were engaged in farming and animal *** highest prevalence of animal bites(37.4%)happened in the *** of the patients had any clinical signs of ***:To reduce the incidence of animal bites,high-risk groups including farmers and ranchers should be educated about bite prevention,and it should be ensured that they are managed correctly.

关键词： Animal bite Rabies Zoonosis Post-exposure prophylaxis Rabies vaccines Epidemiology Abadeh

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