Knowledge and attitudes about rabies in dog-bite victims in Bangladesh
Knowledge and attitudes about rabies in dog-bite victims in Bangladesh
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DOI：
10.1016/j.onehlt.2020.100126
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发表时间：
2020-06-01
期刊：
影响因子：
5
通讯作者：
Casal, Jordi
中科院分区：
文献类型：
--
作者：
Alam, Ahmed Nawsher;Siddiqua, Mahmuda;Casal, Jordi
狂犬病是一种重要的人畜共患疾病，在亚洲国家造成数千人死亡。孟加拉国于2010年启动了一项消除规划，其基础是大规模犬只疫苗接种、犬只咬伤管理、接触后预防的应用以及沟通和社会动员。这项研究的目的是确定的行为和知识的狗咬受害者。除了孟加拉国的一家三级医院外，还对885名狗咬伤受害者进行了横断面描述性研究，这些受害者在六个随机选择的疫苗接种中心接受了狂犬病疫苗接种。大多数被狗咬伤的受害者是男性（70%），学历很低或没有学历（75%）。答复者对狂犬病的认识很低：58%不知道被狗咬伤的后果，52%不知道任何狂犬病迹象。大多数人知道狗咬伤后可以预防人类狂犬病，但高达70%的人没有正确回答与狂犬病预防和治疗有关的其他问题。对狂犬病的认识和态度与教育水平密切相关。最后，58名被调查者（6.4%）没有正确完成暴露后预防。总之，孟加拉国公民对狂犬病的认识很低。应实施一项强化计划，向人们宣传和教育狗咬伤、狂犬病风险以及为预防该疾病而采取的措施，以减少风险，包括完成接触后治疗的必要性。
Rabies is an important zoonotic disease that causes several thousand deaths in Asian countries. Bangladesh launched an elimination programme in 2010 based on the mass vaccination of dogs, management of dog bites, application of post-exposure prophylaxis and communication and social mobilization. The aim of this study is to ascertain the behaviour of and knowledge about dog-bite victims.A cross-sectional descriptive study was performed on 885 dog-bite victims who presented themselves for post-exposure rabies vaccination to six randomly selected vaccination centers, in addition to a tertiary-level hospital in Bangladesh. Most dog-bite victims were male (70%) and with very low or no education qualifications (75%). Respondents' knowledge of rabies was low: 58% were unaware of the consequences of a dog bite and 52% did not know about any indication of rabies. Most knew that rabies in humans can be prevented after dog bites, but up to 70% did not give a correct answer for other questions related to the prevention and treatment of rabies. Knowledge and attitudes about rabies is closely related to level of education. Finally, 58 of those surveyed (6.4%) did not complete the post-exposure prophylaxis correctly.In conclusion, knowledge about rabies among Bangladeshi citizens is low. An intensive plan to inform and educate people about dog bites, the risk of rabies and measures to adopt for preventing the disease should be implemented in order to reduce risk, including the need to complete post-exposure treatment.