Anka Tıp Dergisi

Yazarlar: Türkan DEVECİ, Mehmet Oğuzhan AY, Selen ACEHAN, Akkan AVCİ, Müge GÜLEN, Begüm Şeyda AVCİ, Salim SATAR

Konular:Acil Tıp

Anahtar Kelimeler:Rabies,Vaccination,Dogs,Emergency

Özet: Objective: In this study, it was aimed to determine the demographic features of patients admitted to the emergency department with the rabies risky contacts. Materials and Methods: Patients admitted toEmergency Medicine Department of Adana Numune Education and Research Hospital with rabies risky contacts between January 2012 and January 2014 were investigated from hospital automation system, emergency patient care cards and rabies notification book. SPSS 21.0 software package was used for statistical analysis of the obtained data. Results: Total 2732 patients were included in the study. Of the patients, 70.4% (1923 patients) were male and the median age was 23.65 years (min: 0, max: 87). It was determined that 15.7% of the patients admitted to the emergency department in 2012, 39.3% in 2013 and 44.9% in 2014. Admissions were more common in May, June and July. The most common history of rabies risky contact was with dogs (61.6%) and via the bite (71.8%). Of the patients, 99.9% were given 1 dose, 85.6% were given 2 doses, 51.5% were given 3 doses, 9.9% were given 4 doses and 6.2% were given 5 doses of rabies vaccine, and 7.9% of them were given HRIG. Of the rabies risky animals, 99.7% were lived during the follow-up of, while 0.3% were died. None of the patients had symptoms of rabies and died. Conclusion: This study showed that contact with rabies suspected animals is increasing in every year and it is still a serious public health problem for our city. More emphasis should be given to collecting stray animals, the control and rehabilitation of these animals carried out by municipalities. The number and capacity of the animal shelters should be increased, and the community should be informed about rabies.

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