جستجوی مقالات مرتبط با کلیدواژه "animal bite" در نشریات گروه "پزشکی"
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زمینه و اهداف
حیوان گزیدگی یک مشکل بهداشت عمومی با پیامدهای اقتصادی، اجتماعی و روانی است. هدف مطالعه بررسی وضعیت اپیدمیولوژیک و جغرافیایی حیوانات گزیدگی در استان کرمانشاه بود.
مواد و روش هااسناد موجود ثبت حیوان گزیدگی مراکز بهداشتی درمانی و پیشگیری از بیماری های واگیر دانشگاه علوم پزشکی طی سال های 1401-1390 مطالعه گذشته نگر توصیفی مقطعی شدند. آنالیز داده ها با روش توصیفی فراوانی (میانگین، واریانس و انحراف معیار)، مربع کای- دو و استفاده از نرم افزار Arc GIS برای ترسیم نقشه پراکنش جغرافیایی انجام شد. رعایت ملاحظات اخلاقی در تمام مراحل اجرای مطالعه درنظر گرفته شد.
یافته هادرمجموع 52816 حیوان گزیدگی در سراسر استان گزارش شد. روند بروز موارد حیوان گزیدگی در 12 سال مزبور رو به افزایش بود. گزارشی ناشی از مرگ نبود. بیشترین حیوان مهاجم سگ با 87% بود و از لحاظ محل آناتومیک بیشترین آسیب ها در اندام های تحتانی (50/42%) بود. روستاییان و حاشیه نشین ها با 33/53% بیشترین گروه تحت تهاجم حیوان بودند. مردان 68/75% و زنان 31/25% را تشکیل دادند. گروه سنی در کل جمعیت مورد مطالعه 7 تا 30 سال با 27% بیشترین میزان آسیب را داشتند. بیشترین موارد گزش در تابستان و بهار و کمترین در پاییز و زمستان گزارش شد.
نتیجه گیریبا توجه به شیوع نسبی حیوان گزیدگی در استان کرمانشاه، بررسی الگوهای GIS نحوه ی انتشار حیوان گزیدگی و شناسایی مناطق اندمیک، ارائه طرح های آموزشی هدفمند، برنامه های مداخله ای جهت پیشگیری و کاهش حیوان گزیدگی به ویژه در فصول تابستان و بهار با تاکید بر افزایش آگاهی افراد و ایمن سازی سگ ها ضروری است.
کلید واژگان: حیوان گزیدگی, پراکندگی جغرافیایی, Arcgis, کرمانشاهBackground and AimsAnimal bites are a public health problem with economic, social, and psychological consequences. The aim of this study was to investigate the epidemiological and geographical status of animal bites in Kermanshah province.
Materials and MethodsThe existing animal bite registration documents of health care centers and the disease prevention department of the University of Medical Sciences during the years 2011-2022 were studied in a retrospective descriptive cross-sectional manner. Data analysis was performed using descriptive statistics (mean, variance, and standard deviation), chi-square, and the Arc GIS software for mapping the geographical distribution. Ethical considerations were taken into account at all stages of the study implementation.
ResultsA total of 52,816 animal bites were reported across the province. An increasing trend of animal bite cases was noticed over the studied 12 years. There were no reports of fatalities. Dogs were reported as the most common chasing animal, accounting for 87% of cases, and anatomically, the highest prevalence of injuries had been occurred in the lower limbs (50.42%). Rural residents and those living on the margins were the most affected groups, representing 33.53%. Males constituted 68.75% and females 31.25%. The age group with the highest incidence of injuries in the overall studied population was between 7 and 30 years old, making up 27%. The highest number of bites were reported in summer and spring, while the lowest were in autumn and winter.
ConclusionConsidering the relative prevalence of animal bites in Kermanshah province, examining the spatiotemporal patterns of animal bites and identifying endemic areas, providing targeted educational plans, andintervention programs are necessary to prevent and reduce animal bites, especially in summer and spring, with emphasis on increasing people's awareness and immunizing dogs.
Keywords: Animal Bite, Geographic Distribution, Arcgis, Kermanshah -
مقدمه
حیوان گزیدگی یکی از مشکلات مهم بهداشتی بوده که می تواند منجر به ایجاد بیماری خطرناک هاری با میزان کشندگی 100 درصد گردد.
هدفهدف این مطالعه مشخص نمودن وضعیت اپیدمیولوژی حیوان گزیدگی در استان اصفهان می باشد.
مواد و روش هااین یک مطالعه توصیفی- تحلیلی مقطعی بوده و موارد حیوان گزیدگی مراجعه کننده به مراکز واکسیناسیون را در سال 1397 مورد بررسی می دهد و داده های گرد آوری شده با استفاده از نرم افزارهای اکسل اطلاعات دسته بندی شده و سپس با استفاده از نرم افزار آماری SPSS نسخه 26 آزمون های آماری کای اسکوئر و تی- تست با سطح معنی داری 05/P>0 مورد تجزیه و تحلیل قرار گرفت.
یافته هااین مطالعه 11368 مورد حیوان گزیدگی سال 1397 با میانگین سنی 81/16±32/63 که بیشتر آن ها را مردان (83/3 درصد) و ساکنین مناطق شهری (70/72 درصد) بودند را بررسی نموده که 70/2 موارد توسط سگ و 23/82 درصد توسط گربه دچار مصدومیت شده بودند، شهرستان های چادگان 668/12 در 100 هزار نفر، سمیرم 510 در 100 هزار نفر، دارای بیشترین میزان بروز و شهرستان های خور و بیابانک 50/6 در 100 هزار نفر و فریدونشهر 33/6 در 100 هزار نفر جمعیت کمترین میزان بروز را به خود اختصاص داد. 1/45 درصد موارد حیوان گزیدگی در گروه سنی میانسالان قرار دارشتند. 51 درصد جراحات در ناحیه فوقانی بدن افراد مصدوم بوده و بین جنسیت و موقعیت مصدومیت، منطقه سکونت، نوع حیوان مهاجم، گروه سنی و شغل مصدومین ارتباط معنی داری / داد. (001/P>0) وجود داشت.
نتیجه گیریدر این مطالعه مشخص شد که بیشتر موارد حیوان گزیدگی ناشی از گزش توسط سگ و گربه صورت گرفته است و اکثر سگ های مهاجم دارای صاحب بودند لازم است توجه ویژه به واکسیناسیون این دسته از حیوانات و نظارت بر قوانین نگهداری سگ در مناطق مسکونی صورت گیرد.
کلید واژگان: حیوان گزیدگی, اپیدمیولوژی, بروز, واکسیناسیون, هاری, اصفهانIntroductionAn animal bite is a significant health issue that can result in the deadly disease of rabies, with a 100% fatality rate.
ObjectiveThe goal of this study is to ascertain the epidemiological status of animal bites in Isfahan province
Materials and MethodsThis is a cross-sectional descriptive-analytical study that examines animal bite cases referred to vaccination centers in the year 2018. Data was collected using Excel software, categorized, and then analyzed using SPSS 26 software with statistical tests such as chi-square and t-test, with a significance level of P>0.05.
ResultsThis study analyzed 11,368 animal bite cases in 2017, with an average age of 32.63±16.81. The majority were men (83.3%) living in urban areas (70.72%). Dog bites accounted for 70.2% of cases, while cat bites were 23.82%. Chadegan had the highest incidence rate at 668.12 per hundred thousand people, followed by Semiram at 510 per hundred thousand. Khor and Biabank had a rate of 5.06 per hundred thousand, while Feridunshahr had the lowest at 33.6 per hundred thousand. Middle-aged individuals represented 45.1% of cases. Upper body injuries accounted for 51% of cases, showing
a significant correlation (P<0.001) with gender, location, animal type, age group, and occupation of the injured.ConclusionIn this study, it was discovered that the majority of animal bites were due to dog and cat bites, with most of the aggressive dogs being owned. It is crucial to focus on vaccinating this group of animals and enforcing regulations for keeping dogs
in residential areas.Keywords: Animal Bite, Epidemiology, Occurrence, Vaccination -
Background
Rabies remains a public health problem in middle-income countries like Iran, despite being preventable. This study aimed to evaluate the six-year incidence of animal bites in the southern Caspian Sea region from 2016 to 2022, and focus on estimating the direct costs of animal bite cases using the incidence-based method.
MethodsA multicenter, registry-based study was conducted using surveillance data of animal bites.
ResultsOf the 40922 cases reported during the study period, 65.9% were male and 34.1% were female. Animal bites were most frequent among individuals over 50 years of age (23.5%), while children under 10 years of age had the lowest frequency of animal bites (2.3%). Animal bites were most common in June. Dogs were responsible for 33277 (81%) cases, cats for 5,624 (13.7%) cases, cows for 1054 (2.5%) cases, and other animals for the remaining cases. During the six-year study period, four deaths due to rabies were reported in the study area. The annual bite incidence rate was 386.3 per 100000 people in northern Iran. The males-to-female ratio was highest in 2019 (M/F ratio=2.4, 95% CI=1.2‒3.4).
ConclusionThe elderly are at higher risk of animal bites, especially in rural areas. It is important to emphasize the use of protective clothing, washing wounds with soap water and rabies vaccination as initial treatment. Targeted vaccination efforts for eligible animals should be prioritized to minimize unnecessary financial burden. Educating farmers about rabies prevention programs, especially in cases of cow bites, is also important.
Keywords: Animal Bite, Iran, Public Health Interventions, Rabies -
مقدمه و اهداف
حیوان گزیدگی یکی از مهم ترین مشکلات سلامت عمومی می باشد که باعث بیماری هاری می شود. این مطالعه با هدف بررسی اقدامات پروفیلاکسی انجام شده برای موارد حیوان گزیدگی رخ داده در استان آذربایجان غربی در طی سال های 1391 تا 1397 انجام شده است.
روش کاردر این مطالعه مقطعی داده های کلیه موارد حیوان گزیدگی مراجعه کننده به مراکز مراقبت هاری در استان آذربایجان غربی بررسی شده و اطلاعات مربوط به اقدامات انجام یافته برای پیشگیری از هاری شامل اقدامات بعد از گزش (شستشو، ضدعفونی، پانسمان، بخیه و دریافت آنتی بیوتیک)، وضعیت دریافت واکسن ضد هاری (تاخیر در مراجعه، دوز واکسن دریافتی و سابقه دریافت واکسن در گذشته، سرم ضد هاری و دریافت واکسن کزاز) با آمارهای توصیفی گزارش شدند. ارتباط بین تاخیر در مراجعه با اقدامات انجام یافته با آزمون مجذور کای بررسی شد.
یافته هادر سال های مورد مطالعه 47131 مورد حیوان گزیدگی رخ داده بود. از این تعداد 63/9 درصد بدون تاخیر و 36/1 درصد با تاخیر مراجعه کرده بودند و در 99/6 درصد موارد زخم ها با آب و صابون شستشو داده شده و 94/5 درصد ضدعفونی شده و 31/3 درصد آنتی بیوتیک دریافت کرده بودند که نسبت دریافت آنتی بیوتیک در افرادی که با تاخیر مراجعه کرده بودند به طور معنی داری بیشتر بود. از کل موارد 77/3 درصد هر سه نوبت اول تا سوم و 15/4 درصد پنج نوبت کامل واکسن هاری را دریافت کرده بودند و برای 1/1 درصد هیچ واکسنی تزریق نشده بود.
نتیجه گیریاقدامات پروفیلاکسی انجام شده برای موارد حیوان گزیدگی مطلوب می باشد، اما لازم است تامین به موقع واکسن هاری در مراکز مراقبت هاری و همچنین آموزش همگانی برای مراجعه به موقع در هنگام حیوان گزیدگی همچنان مورد توجه بوده و اقدامات لازم در این زمینه انجام گیرد.
کلید واژگان: حیوان گزیدگی, هاری, پروفیلاکسی بعد از مواجهه, واکسیناسیونBackground and ObjectivesAnimal bites are one of the most important public health problems that cause rabies. This study aimed to investigate the preventive measures taken for animal bite cases that occurred in West Azerbaijan province during 2012 to 2019.
MethodsThis cross-sectional study involved the review data from all animal bite cases referred to rabies care centers in West Azerbaijan province. Information regarding prophylactic measures to prevent rabies, including post-bite procedures (washing, disinfection, dressing, stitches and receiving antibiotics), anti-rabies vaccine status (referral delay, vaccine dose received, vaccination history, anti-rabies serum, tetanus vaccination history) was analyzed using descriptive statistics. The relationship between delay in referral and the measures taken was investigated using the Chi-square test.
ResultsOver the studied years, there were 47131 cases of animal bites. Among these, 63.9% were referred without delay, while 36.1% experienced a delay in referral. Notably, 99.6% of wounds were washed with soap and water, 94.5% were disinfected, and 31.3% received antibiotics. The proportion of individuals receiving antibiotics was significantly higher among those with delayed referrals. Regarding rabies vaccination, 77.3% had received all three initial doses, 15.4% had completed five doses, and 1.1% had not received any vaccine.
ConclusionWhile prophylaxis measures for animal bite cases are commendable, there is a critical need for timely administration of rabies vaccine in rabies care centers. Implementing educational programs for general population to encourage prompt treatment-seeking in the event of animal bites is essential.
Keywords: Animal bite, Rabies, Post-exposure prophylaxis, Vaccination -
Background
Despite a lot of efforts made in the rabies health?care system, Iran is still in an endemic region and millions are spent annually to prevent rabies.
Materials and MethodsSearching in national and international databases has been performed. The preferred reporting items for systematic reviews and meta?analyses protocol were followed. To assess heterogeneity, the I?index wascalculated. In addition, sensitivity analysis was performed by the remove?one method. The publication bias was also investigated by Egger’s regression test, and the trim and fill method. To perform a meta?analysis, CMA version 2 software was used.
ResultsTotally, 33 studies with 250,980 animal?bite cases were meta?analyzed. A summary estimate of the incidence of 1200 per 100,000 population (95% CI 1000, 1500) with a mean age of 29.97±15.13years (95%CI: 29.33, 30.61) was estimated. The rate in men was higher 76.7% (95%CI 74.7%, 78.8%) than in women and in the rural 49.7% (95%CI: 42.8%, 58.6%) was equal in the urban. Most bites occurred in the spring and summer 20.5% (95%CI: 16.1%, 25.9%). The highest of job-related bites was in students 20.1% (95%CI: 19%, 23%). The highest rate of bite location and the animal type were estimated in the order of lower limbs and by dogs respectively. The rate of complete vaccination 61% (95%CI: 43%, 76%) and immunoglobulin injection 39% (95%CI: 22%, 59%), were estimated respectively.
ConclusionEstimates reveal that there has been little change in the animal bites over the years. It is necessary to take special actions to control the disease at the national and international levels.
Keywords: Animal bite, epidemiology, incidence, Iran, prevalence, rabies, trend -
Background
The increasing trend in animal bites and rabies in recent years make the disease a public health concern in Iran. The objectives of the current study were to investigate the epidemiologic aspects of the animal bite as well as to determine associated risk factors of the delay in initiation of prophylaxis post-exposure (PEP) against rabies in Iran. Study design: registery-based cross-sectional study
MethodsThis national study included all registered cases of animal bites between March 2021 and March 2022 at the Center for Communicable Diseases Management, Ministry of Health and Medical Education, Iran. We retrieved epidemiologic data on person, time, place, as well as data on the PEP outcome.
ResultsA total of 260,470 animal bite cases (approximately 3 per 1000 population, 15 deaths) registered in during the study period. About 77% were in male, 4% in fewer than 5 years, 56% occurred in urban area, 98% from domestic animal, 38% in 12:00 to 18:00 and mostly in north and northeast area of Iran. Approximately 3% of cases had delay more than 48 hours for initiation of rabies PEP. The provinces of Yazd (10%), Qom (6%) and Hormozgan (6%) had the highest delay, respectively. Significant determinants of delay were female (OR=1.4), foreign nationality (1.2), rural residents (1.1), fall and winter (1.2), wild animal (1.2) (p-value<0.05).
ConclusionThe observed burden of animal bites in a year alerts a serious public health concern and the need of targeted interventions especially in at risk areas and vulnerable population
Keywords: Animal bite, Rabies, Post-Exposure Prophylaxis, Epidemiologic Factors, Iran -
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد، سال شصت و پنجم شماره 6 (پیاپی 186، بهمن و اسفند 1401)، صص 2245 -2255مقدمهگازگرفتگی به وسیله حیوانات، تهدید بزرگی برای سلامتی مردم است چون متعاقب آن می تواند بیماری کشنده هاری را سبب شود. هاری درکشور ایران هنوز یکی از معضلات بهداشتی اقتصادی می باشد.لذا مطالعه حاضر با هدف بررسی وضعیت شیوع موارد حیوان گزیدگی درشهرستان قاینات طی 5 سال انجام شد.روش کاردر این مطالعه توصیفی- تحلیلی ،جامعه آماری شامل موارد حیوان گزیده مراجعه کننده به مراکز بهداشتی درمانی شهرستان قاینات طی سال های 1400-1396 می باشد. داده های جمع آوری شده با نرم افزار spss ورژن 23 مورد تجزیه و تحلیل قرار گرفت و از ازمون آماری کای اسکویر به منظور بررسی ارتباط بین متغیرها استفاده شد. به منظور تعیین معنا دار بودن آماری 0.05> P-Valueتعیین شد.نتایج1326 مورد حیوان گزیدگی با میانگین شیوع 2.27 در 1000 نفرگزارش شد که 77.34% از آن ها مرد بودند. 59.28% در مناطق روستایی ساکن بودند. میانگی سنی افراد 24.12± 44.74 سال بود و غالبا در گروه سنی 50 ساله و بالاتر (38.3٪) قرار داشتند. 77.8 % از موارد گازگرفتگی توسط سگ بود. اندام فوقانی(1/43 %) بیشترین اندام گزیده شده بود و بیشترین موارد در فروردین ماه با 9.4 درصد مشاهده گردید.نتیجه گیریبا افزایش حیوان گزیدگی در شهر قاینات و اهمیت عوارض ناشی ازآن به لحاظ بهداشتی و اقتصادی ، مسیولان باید به برنامه ریزی و مداخله برای کاهش موارد بواسطه افزایش سطح آگاهی ازطریق آموزش و مبارزه با سگ های ولگرد اقدام نمایند.کلید واژگان: اپیدمیولوژی, شیوع, حیوان گزیدگی, هاری, ایرانIntroductionBeing bitten by animals is a great threat to people's health because it can cause the fatal disease of rabies. Rabies in Iran is still one of the health-economic problems. Therefore, the current study was conducted with the aim of investigating the prevalence situation of animal bite cases in Qaenat city over 5 years.Materials and MethodsIn this descriptive-analytical study, the statistical population includes the cases of animal bites referred to the health centers of Qaenat city during the years 2016-1400.The collected data was analyzed with spss software version 23 and Chi-square statistical test was used to check the relationship between the variables. In order to determine statistical significance, P-Value>0.05 was determined.Results1326 cases of animal bites were reported with an average prevalence of 2.27 per 1000 people, of which 77.34% were men. 59.28% lived in rural areas. The average age of the subjects was 44.74 ± 24.12 years and they were mostly in the age group of 50 years and older (38.3%). 77.8% of the cases were bitten by dogs. The upper limb (43.1%) was the most bitten limb and the most cases were observed in April with 9.4%.ConclusionWith the increase of animal bites in Qaenat city and the importance of the resulting complications in terms of health and economy, the authorities should plan and intervene to reduce the cases by increasing the level of awareness through training and fighting against stray dogs.Keywords: Epidemiology, Prevalence, Animal Bite, rabies, Iran
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مقدمه
گزش حیوانات یک تهدید جدی و خطرناک برای سلامت انسان است. بیشترین میزان شیوع حیوان گزیدگی در ایران در گلستان، اردبیل و سپس خراسان است. مطالعه حاضر به بررسی ویژگی های اپیدمیولوژیک و روند حیوان گزیدگی طی سال های 1396-1392 پرداخت.
روش کاراین مطالعه مقطعی تحلیلی بر روی موارد انسانی مشکوک به هاری که توسط مرکز بهداشت شیروان جمع آوری شده بود، انجام شد. داده ها با استفاده از شاخص های آمار توصیفی (فراوانی و درصد، میانگین و انحراف معیار) و رسم نمودارهای مناسب توصیف و از روش تجزیه در نرم افزار SPSS19 برای تخمین موارد حیوان گزیدگی بهره بردیم.
یافته هادر این مطالعه از 3784 مورد گازگرفتگی توسط حیوانات، 2821 مورد با حمله ناگهانی اتفاق افتاد. بیشتر گزارش ها ناشی از گاز گرفتن توسط سگ بود. همچنین روند حیوان گزیدگی طی سال های 1396-1392 رو به افزایش بود و نمودارها نشان می داد که این روند در یکسال آینده نیز رو به افزایش خواهد بود.
نتیجه گیریبا توجه به روند رو به افزایش حیوان گزیدگی، انجام اقدامات اساسی از جمله آموزش گروه های در معرض خطر، تشکیل کمیته امحای سگ های ولگرد و تقویت سیستم مراقبت و برنامه ایمن سازی ضروری است.
کلید واژگان: حیوان گزیدگی, اپیدمیولوژی, هاری, ایرانBackgroundAnimal bite is a serious and dangerous threat to human health. The highest prevalence rate of animal bite in Iran is in Golestan, Ardabil and, then Khorasan. The present study examined the epidemiological characteristics and the trend of animal bites during 2014-2018.
MethodsThis analytical cross sectional study was conducted on human cases suspected of rabies, which were collected by Shirvan Health Center. Data were described using descriptive statistics indicators (frequency and percentage, mean and standard deviation) and drawing appropriate graphs, and decomposition method was used in SPSS19 software to estimate the animal bites.
ResultsIn this study, out of 3784 cases bitten by animals, 2821 happened by a sudden attack. Most reports of the animal bite were from dogs. Also, the trend of animal bite during 2014-2018 was increasing and the charts showed that the trend will continue to increase the next year.
ConclusionDue to the increasing trend of animal bites, it is necessary to take basic measures such as training endangered groups, forming a committee to eliminate stray dogs, and strengthening the care system and immunization program.
Keywords: Animal Bite, Epidemiology, Rabies, Iran -
Background and objectives
Animal bites account for tens of millions of injuries annually. The present study aimed at identifying the epidemiological patterns of animal bites and factors affecting the delay of post-exposure prophylaxis for the injured patients in Hurand, northwestern Iran.
MethodsIn this cross-sectional study, data were collected from medical records of animal bite victims who were referred to the rabies center of Hurand between 2014 and 2017. The epidemiological pattern of animal bites and factors affecting delayed initiation of post-exposure prophylaxis was investigated using the Poisson regression.
ResultsThe majority of animal bites occurred in males and people aged 5-15 years. Moreover, most injuries were caused by dog bite. The most commonly affected organs were the lower limbs. The risk ratio of delay in vaccination for men was 0.88 compared with women. Delay in post-exposure prophylaxis was more common among rural residents and those bitten by cats.
ConclusionAccording to the results, males, rural residents and people aged under 15 years of age are most vulnerable to animal bites. Designing a comprehensive educational program for these target groups seems essential for reducing animal bites. In addition, to prevent delays in vaccination, factors such as sex, animal type, location of events and the extent of bites should be considered.
Keywords: Rabies, Delay of vaccine, Post-exposure prophylaxis, Animal bite -
هدف
حیوان گزیدگی تهدید مهمی برای سلامت جمعیت انسانی است. مطالعه حاضر به منظور ارزیابی بروز پنج ساله حیوان گزیدگی در انسان در شهرستان خرمشهر از 1392 تا 1396 انجام شد.
روش هادر این مطالعه توصیفی- تحلیلی ،داده ها بوسیله چک لیست از مواردی که به مراکز خدمات بهداشتی شهر خرمشهر مراجعه کردند، جمع آوری شد. جامعه آماری شامل موارد حیوان گزیده مراجعه کننده به این مراکز طی سال های 1396-1392 بود. اطلاعات بوسیله نرم افزار SPPS نسخه 18 تجزیه و تحلیل شد تست های کای اسکویر و تی استودنت به منظور آنالیز ارتباط بین داده ها و متغیرها استفاده شدند. اختلافات بین گروه ها به منظور تعیین معنا دار بودن آماری با (05/0>P-Value) تعیین شد.
نتایجکل موارد گزارش شده حیوان گزیدگی 733 مورد بود که 69 درصد مرد بودند. اکثریت افراد (5/83 درصد) به وسیله سگ گزیده شده بودند. جراحت های اندام پایینی (7/49 درصد) به طور معنا داری بیشتر از سایر اعضا بدن بود. حدود 8/71 درصد موارد در نواحی شهری زندگی می کردند. علاوه بر این، بیشتر حیوان گزیدگی ها در گروه سنی 39-30 (6/19 درصد) اتفاق افتاد. بیشتر قربانیان دانش آموز (4/31 درصد) بودند. حیوان گزیدگی ها در بهار (27 درصد) شایع تر بود. توزیع فراوانی موارد برحسب نوع حیوان گزنده، جنسیت، گروه سنی، ماه و شغل در طی سال های مختلف اختلاف معنا دار نشان داد (05/0>P-Value).
نتیجه گیریحیوان گزیدگی در دانش آموزان، مردان جوان و ساکنین نواحی شهری شایع تر بود. علاوه بر این، سگ گزیدگی 5/83 درصد حیوان گزیدگی ها را شامل شد. این یافته ها، ضرورت برنامه های آموزشی به منظور افزایش آگاهی مردم در معرض خطر را نشان می دهد.
کلید واژگان: اپیدمیولوژی, حیوان گزیدگی, هاری, ایرانIntroductionAnimal bite is an important threat to human population’s health. The present study aimed to evaluate five-years incidence of animal bites in humans in Khorramshahr County from 2013 to 2017.
MethodsIn this descriptive-analytical study, data were collected using checklists form cases that suffered from animal bite and referred to health services centers. The study population were the animal bite patients who referred to health services centers during 2013 to 2019. Data were analyzed using SPSS ver. 18. The chi-square and Student t-tests were used to analyze the relationship among the data and variables.
ResultsThe total number of reported animal bites was 733, out of which 69% were men. The majority of cases (83.5%) were bitten by dogs. The lower limbs injuries (49.7%) were significantly higher than other sites. About 71.8% of bitten cases lived in urban areas. In addition, the most animal bites (19.6%) occurred in the 30-39 year-old age groups. Most of the victims were students (31.4%). Animal bites were more common in spring (27%). Significant differences were observed in the frequency of bites in terms of the type of the animals as biter, gender, age group, month, and occupation in different years (P-Value<0.05 (.
ConclusionBased on our findings, animal bite is more abundant in students, young men, and residents of the urban areas. Moreover, dog bite accounts for 83.5% of animal bites. These findings shows the necessity for education programs to promote the knowledge of the at-risk people.
Keywords: Epidemiology, Frequency, Animal Bite, Rabies, Iran -
سابقه و هدفدر سالهای اخیر موارد حیوانگزیدگی در ایران افزایش چشمگیری یافته و به موازات آن اتلاف حیوانات ولگرد نیز با روند صعودی همراه بوده است. میزان بروز حیوان گزیدگی در شهرستان فریدونشهر، به مراتب از بروز کشوری آن بالاتر بوده) 499 در مقابل 188 در 100.000) و از این حیث، اتلاف حیوانات ولگرد با هزینه بالا و به صورت مداوم در دستور کار ارگانهای مربوطه قرار گرفته ولی آیا برنامه اتلاف در شهرستان باعث کاهش موارد حیوانگزیدگی میگردد؟ در این مطالعه به بررسی این همبستگی در شهرستان فریدونشهر طی 18 سال اخیر)از 1379 تا 1396 (پرداخته ایم.روش کاردر این مطالعه متکی بر داده های موجود اطلاعات مربوط به 2339 فرد حیوانگزیده)با روش سرشماری(که طی دوره 18 ساله در شهرستان فریدونشهر تشخیص و برای آنها واکسیناسیون ضد هاری تزریق شده بود، و به موازات آن تعداد اتلاف حیوانات ولگرد) 2642 مورد اتلاف(مورد بررسی قرار گرفت. اطلاعات مورد استفاده در این مطالعه از گزارشات موجود در مرکز بهداشت شهرستان گردآوری شد. داده های مورد نظر پس از جمعآوری با استفاده از نرم افزار SPSS ورژن 19 آنالیز شدند.یافته هاآزمون ضریب چولگی پیرسون) Pearson’s Skewness (نشان داد که هر دو متغیر تعداد موارد حیوانگزیده و تعداد اتلاف حیوانات ولگرد از توزیع نرمال پیروی میکنند بنابراین با استفاده از آزمون ضریب همبستگی پیرسون) Pearson Correlation) همبستگی بین اتلاف حیوانات ولگرد و کاهش بروز حیوانگزیدگی معکوس) 023 / 0 - = r (محاسبه شد که به لحاظ آماری معنی دار نبود) 74 / 0 = P .)نتیجهگیریبه دلیل اینکه در 18 سال گذشته، 84 % موارد حیوانگزیدگی توسط سگهای خانگی)صاحبدار(رخ داده است، اتلاف حیوانات ولگرد در شهرستان، نه تنها در کاهش بروز موارد حیوانگزیده تاثیر چندانی نداشته، بلکه موجب افزایش هزینه ها و روش های غیر اخلاقی کشتار حیوانات میگردد. برنامه هایی نظیر آموزش صاحبان سگها جهت بستن حیوان و آموزش جمعیت تحت پوشش به ویژه دانشآموزان در مدارس، جهت مقابله با سگهای خانگی میتواند موثر واقع گردد.کلید واژگان: حیوان گزیدگی, هاری, اتلاف حیوانات ولگرد, ضریب همبستگی پیرسون, آنالیز همبستگیBackground objectivesIn recent years,cases of animal bites have increased in Iran. In addition,stray animals killing had upward trend,accordingly. The incidence rate of animal bites in Fereydunshahr is higher than the national average (499 vs. 188 per 100,000),it has great importance in this regard. Therefore killing of stray animals has constantly been the agenda of the relevant organs with a high cost,but does this program reduces the rates of animal bite? This study evaluated effectiveness of stray animals' Killing on animal bites incidence in Fereydunshahr (Isfahan,IRAN) in the last 18 years (2000-17).Materials,methodsIn this routine data base study,we followed 2339 cases of animal bites (using CENSUS method) that had been diagnosed,received Anti-Rabies vaccine during the studied period,as well as 2642 cases of animal waste. The data used in this study were collected from the township health center reports. Statistical computing was performed using SPSS software (ver. 19) at an error level of 5%.ResultsPearson's Skewness coefficient showed that both the number of animal bites,also,killed animals have normal distribution. Given the existence of parametric conditions,normal distribution,variables independence,and the interval scale of both variables,Pearson Correlation coefficient test is used to investigate the relationship. Pearson correlation analysis did not show a significant correlation between stray animals' killing with animal bites incidence (P,0.74,ɤ,-0.023).ConclusionDue to 84% of animal bite cases occurred by domestic dogs in the last 18 years,killing of stray animals not only had effect on reducing the incidence of animal bite cases,but also it increases the costs,immoral methods of animal killings. The plans such as training of dog-owners (to keep in fetters of the dogs),training of the population,especially schoolchildren,can be effective in domestic dog bites reduction.Keywords: Animal Bite, Rabies, Stray Animals' Killing, Pearson Correlation Coefficient, Correlation Analysis
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IntroductionAnimal bites and rabies are perceived and managed differently from bites and stings related to envenoms snakes, scorpions and spiders. This study aimed at evaluating knowledge, attitudes and practices (KAP) of local population regarding animal bites and rabies, as a point of comparison for future studies on venomous animals.MethodsThis cross-sectional KAP study included 1093 subjects from four rural areas of Mashhad. Data gathered through a validated and reliable structured questionnaire.ResultsIn total, 1093 respondents included in the study consist of 53% male and 42% adults of 20 to 9 years old. Assessing knowledge; 70% of cases were presented with weak and moderate knowledge related to clinical manifestations, but just the opposite, majority of the respondents (83%) were categorised as good or excellent in their knowledge of prevention. Assessing attitudes; almost all (91%) of respondents categorised as good or attitude. Assessing practices; 33% of cases revealed that there are no good practices with regard to animal bites and rabies.
Respondent’s knowledge of prevention was significantly correlated with age (P = 0.01) and educational level (P = 0.002). Both attitudes and practices had significant relations with age. Respondents aged 20- 39 years showed better practices than other age groups (P < 0.01).Conclusionthis study found that while information on prevention is acceptable, clinical findings of bites and rabies are relatively unknown. Preventive measure should include clinical manifestations as well as currently implemented focus on prevention, vaccination and treatment.Keywords: Animal Bite, Attitude, Iran, Knowledge, Practice, rabies -
سابقه و هدفحیوان گزیدگی یکی از تهدیدهای سلامتی انسان به شمار می رود. حیوان گزیدگی پیامدهای بسیاری مانند بیماری کشنده هاری به دنبال دارد. با توجه به اهمیت حیوان گزیدگی در سراسر کشور، هدف مطالعه حاضر بررسی توزیع جغرافیایی، روند زمانی و خصوصیات اپیدمیولوژیک موارد در شهرستان بردسیر می باشد.روش کاراین پژوهش مطالعات مقطعی برروی پرونده افراد دچار حیوان گزیدگی از فروردین سال1389تا اسفند 1393 در شهرستان بردسیرانجام شد. داده ها وارد نرم افزار SPSS v.20 گردیده و با آمار توصیفی شامل فراوانی و درصد، مدل لگاریتم خطی و مدل سری زمانی تحلیل گردیدند. همچنین برای رسم پراکندگی جغرافیایی موارد حیوان گزیدگی از نرم افزار Arc GISاستفاده شد.یافته هایافته های این مطالعه نشان داد که در مجموع طی سال های مطالعه 1500 مورد حیوان گزیدگی رخ داده بود. بخش مشیز با تعداد 695 مورد گزش دارای بیشترین حیوان گزیدگی بود. از نظر زمانی موارد حیوان گزیدگی دارای روند خاصی نبودند. نتایج نشان داد که میزان بروز گزش در مردان نسبت به زنان 12/2 بود( 001/0 >P).در گروه سنی 45- 31 سال نسبت به گروه سنی رفرنس(6-0 سال) میزان گزش 98/5 بار بیشتر بود( 001/0 >P).در زنان خانه دار نسبت به گروه رفرنس(اطفال) میزان وقوع حیوان گزیدگی 96/4 بار بیشتر بود( 001/0 >P). در بین حیوانات گزنده سگ ها بیشترین گزیدگی را ایجاد کرده بودند(9/76 درصد). از نظر اعضای گزیده شده، اندام تحتانی بیشتر گزیده شده بودند(8/52). بیشتر مصدومان واکسیناسیون سه نوبتی دریافت کرده بودند(91 درصد).نتیجه گیریبه نظر می رسد عامل تعیین کننده در خصوص حیوان گزیدگی بالا در شهرستان بردسیر نوع فعالیت و شغل باشد. بنابر این آموزش ویژه و پیشگیرانه در گروه های پرخطر می تواند مفید واقع شود.کلید واژگان: حیوان گزیدگی, روند زمانی, بردسیر, ایرانIntroductionAnimal bites are one of the serious threats to human health, leading numerous consequences such as fatal disease of rabies. Given the importance of animal bite throughout the country, the purpose of the present study was to investigate the geographical distribution, time trend and epidemiological characteristics of animal-bite cases in Bardsir County, Iran.MethodsThis cross-sectional study was conducted on the records of people suffering from animal bite between April 2010 and March 2014 in Bardsir County. Data were analyzed in SPSS v.20 software using descriptive statistics including frequency and percentage, log-linear model and time series model. Arc GIS software was employed to plot the geographical distribution of animal-bite cases.ResultsThe findings of this study indicated that totally 1,500 cases of animal bite had occurred during the study period. Mashiz district (with 695 cases of bite) had the most animal bites. In terms of time, animal-bite cases had no particular trend. The results showed that the incidence rate of bite in men was 2.12 times more than in women (pConclusionIt seems that the determinants regarding high incidence of animal bite in Bardsir County are the type of activities and occupations. Therefore, special and preventive educational programs might be useful in high-risk groups.Keywords: Animal Bite, Time Trend, Bardsir, Iran
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IntroductionAnimal bite is a public health problem worldwide. The aim of this study was to investigate frequency of animal bites in Golestan province, northeast of Iran, between 2011 and 2012.MethodsThis descriptive cross-sectional study was done by collecting data from medical records of animal bite victims referred to the health centers in the Golestan province, in 2011-12. Information collected included species of animals, gender, age, occupation, location of residence, type of treatment, and type of injury. The data were analyzed by SPSS (version 16).ResultsOverall, there were 10,810 incidents of animal bites in the province in 2011-12. Of these cases, 8125 (75.48%) were men and most cases were 5-24 years of age. Dog bites accounted for 9885 (91.44%) cases of animal bites. Most incidents occurred in rural areas (82.27%). Most vulnerable individuals were students (n=2370, 21.92%) and homemakers (n=1722, 15.93%). The most common site of animal bites was lower limb (62.53%). Moreover, treatment with anti-rabies serum and vaccine was done for 9610 (89.9%) and 9068 (83.89%) cases, respectively.ConclusionsAccording to our results, animal bites are more frequent in young men, residents of rural areas, and students. In addition, dog bites account for 91% of all cases of animal bites in the province. These results highlight the need for education programs on animal bites and rabies to increase knowledge and awareness of the individuals at risk.Keywords: Animal bite, Rabies, Epidemiology
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Estimating Cost Analysis for Health Care Services Delivered to Animal Bites Patients in Qom ProvinceBackground And ObjectivesAnimal bites considered as one of the issues and problems of public health .Increasing number of animal bites is a very important, because of its potential risk of rabies disease and economic damage. This study was performed to evaluate the cost for health care services delivered to animal bites patients in Qom Province.Materials And MethodsThis cross - sectional study based on data from animal bite patients in Qom, during 2015 was performed. At first, by using the forms that made by researchers, the direct and overhead costs related with the health services in the studied areas were calculated. This costs obtained by visiting the archives and accounting documents. The price paid for out of pocket cost per patient and treatment services to patients and the overall total costs were calculated using Excel software.ResultsDuring 2015 a total of more than 961 million tomans have spent on providing health services to 844 patients with Brucellosis in Qom. Direct health care costs about 913 million tomans,overhead, about 48 million tomans, the state cost per patient over 1 million and 139 thousand tomans, the patient's out of pocket costs to the patient and finally the average total cost of about 30 thousand tomans during one year of service to each of these patients was estimated at 1,169,000 tomans.ConclusionBased on results, considerable costs for treatment and prevention of rabies spent in Qom. So health planners should give priority to prevent this disease in their programs.Keywords: Animal bite, Cost analysis, Health Service, Qom
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BackgroundRabies post-exposure prophylaxis (PEP) is an effective measure if administered immediately. We evaluated the primary health care provided after animal bite and determined the deviations from rabies PEP protocol.MethodsThis 6-year population-based cross-sectional study was conducted in Tehran, the capital of Iran, from April 2006 to March 2012. The study population included people who referred to health centers of Tehran, seeking PEP. The data were extracted from rabies registry databases using a checklist of items according to the context of the health records. All statistical analyses were performed at a significance level of 0.05 using Stata software, version 11.ResultsOf 22,766 cases of animal bite, 84.5% were men, 31.9% were aged 21–30 years, and 66.3% lived in urban areas. Most cases were the result of a dog bite (81.7%), mostly at midday (29.9%), and more frequently in spring (27.9%) and summer (27.7). Legs (45.6%) and hands (43.4%) were the most common sites of animal bite. The PEP was associated with a variety of shortcomings as follows. A majority of cases who had indication of receiving a 5-dose vaccination schedule had received only three doses. Most of the cases with a wound in the head and neck and many of cases with deep wounds had not received immunoglobulin. A number of cases needed to receive one-mL dose of vaccine while they had received 0.5-mL doses.ConclusionsAccording to our results, rabies PEP is not well monitored and the preventive measures are associated with some insufficiencies and deviations from the national PEP protocol which must be taken into consideration by public health authorities to ensure that rabies surveillance is efficient.Keywords: Animal bite, Iran, post, exposure prophylaxis, rabies
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سابقه و هدفمیزان بروز حیوان گزیدگی در شهرستان قوچان از متوسط کشوری و استانی بالاتر است. این مطالعه باهدف بررسی اپیدمیولوژیکی موارد حیوان گزیده قوچان اجرا گردید.روش بررسیدر این مطالعه مقطعی، افراد حیوان گزیده شهرستان قوچان در سال 1392 بررسی گردیدند. داده ها پس از گردآوری، توسط نرم افزار SPSS17 و آزمون هایی مانند تی تست، کای اسکوئر، رگرسیون لجستیک تجزیه و تحلیل گردید.یافته هامیانگین سنی افراد حیوان گزیده 8 /19±2/ 32 بود. 3/ 31% مونث و 7/ 68% مذکر بودند. احتمال ایجاد جراحت عمیق توسط حیوانات ولگرد 5/ 2 برابر حیوانات اهلی و توسط سگ 6/ 12 برابر گربه بود (05/ 0>P). جراحت ایجادشده در خانم ها شدیدتر از آقایان بوده و میانگین سنی زنان حدود 10 سال بیشتر از مردان بود (05/ 0>P).
3/ 16% ساکن شهر و 7/ 83% روستایی بودهاند. بیشترین موارد در خرداد (2/ 11%) و کمترین موارد در دیماه (7/ 5%) بود (05/ 0>P).
اغلب، جراحت توسط سگ (7/ 86%) و گربه (5/ 9%) ایجادشده بود. در 2/ 95% موارد، حیوان مهاجم، اهلی و صاحب دار بوده که در 3 /41% موارد به صاحب خود حمله کرده بود. 9/ 36% افراد هنگام عبور از کنار حیوان، 1/ 18% موارد نامشخص و 1/ 11% هنگام ورود به منزل صاحب حیوان، مجروح شده بودند. بیشترین موارد حمله حیوان، ساعت 18-12 (مد ساعت 17) رخداده بود.نتیجه گیریبا توجه به بالا بودن میزان بروز حیوان گزیدگی در شهرستان قوچان، تدارک برنامه های مداخله ای مناسب جهت پیشگیری و کاهش موارد حیوان گزیدگی به ویژه در مردان جوان روستایی و دانش آموزان و تاکید بر ایمن سازی سگ های صاحب دار ضروری به نظر می رسد.
کلید واژگان: حیوان گزیدگی, اپیدمیولوژی, هاری, قوچانBackground And ObjectiveThe incidence rate of animal bite in Quchan city is much higher than national and provincial average. This project was done to study the epidemiologic distribution of animal bite cases in Quchan city.Materials And MethodsIn this cross sectional study, all animal bite cases of Quchan city in 1392 were studied. Then collected data was entered SPSS17 software and were analyzed by few tests such as t-test, chi-square, and logistic regression.ResultsMost cases were 21-30 years old and mean of age was 32.2±19.8 years. 31.3% were female and 68.7% were male. The risk of severe injury by stray animals was 2.5 times higher than pets and by dogs was 12.6 times higher than cats (P<0.05). Severity of injury in women were greater than men and women were about 10 years older than men in average (P<0.05). 16.3% of cases were city residents and 83.7% of them were rural residents. Highest number of cases of animal bite injuries occurred in June (11.2%) and the lowest in January (5.7%). The culprit animals in most case of bite injuries were dogs (86.7%) followed by cats (9.5%). Invasive animals in 95.2% cases were pets and domesticated and in 41.3% of them attacked their owners. 36.9% of cases were injured when they passed by the animal and 11.1% of them were injured when they entered the animal owner’s house. Most animal attacks occurred at 12-18 o’clock.ConclusionBecause incidence rate of animal bites in Quchan city is high, it is essential that provide an appropriate intervention programs to prevent and reduce the incidence of animal bites, especially in the rural young men and students and with emphasis on immunization the pets.Keywords: Animal bite, Epidemiology, Rabies, Quchan -
Background And ObjectiveAnimal bite is one of the major health and economic problems in human societies that is also growing in our country each year. The present study was designed to investigate the epidemiology of animal bite and candidate factors in Samirom city since 2008 to 2012.Materials And MethodsDuring the study period of 5 years, data were collected from the Animal Bites form of questionnaires in Anti-Rabies Center in Samirom. Then data classification and statistical analysis was performed.ResultsDuring the years 2008 to 2012, 1246 animal bite cases have been reported in Samirom. Aggressive dogs with 63.4% are known as the most biting animals. Most bites occurred in the age range 10 to 19 years with rate of 63.4% and the lowest in the age group 0 to 4 years (2.32%). Bites were 76%in men and 24% in women. Students by 23.5% and employees by 5.5% had the most and little bites. Legs with 67% and head and face with 23% were injured as the highest and the lowest bite wound.ConclusionDue to the increase of animal bites and the importance of complications as one of the major health and economic problems, Increased training activities especially for target groups and other preventive measures in collaboration with various organizations are considerably effective in controlling it.Keywords: Animal bite, Epidemiology, Dog, Cat, Samirom city
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Background
Animal bite is one of the problems of public health which has the potential risk of rabies disease. This study was conducted to determine the epidemiology of animal bite in Aq Qala city from 2000 to 2009.
Materials and MethodsIn this descriptive cross-sectional study, 13142 cases of animal bites which were recorded in Rabies Treatment Center of Aq Qala City were entered into the study by census method. The data were collected from the registered office profile of people who had referred to this center. The obtained data were analyzed using descriptive statistics (frequency distribution, percentage, mean, and standard deviation) and Chi-square test.
FindingsOf 13142 registered cases, 72.1% were men and 27.9% were women. The mean age of the victims was 25.0 ± 17.8 years, most of whom (84%) lived in villages. Also, most cases of animal bite were done by dogs, (97.8%) occurred in legs (69.6%). Most of the victims were students (28.9%). The highest frequency of bites happened in spring (28.8%). The incidence rate of animal bite was 1222/100,000 people. The highest and lowest incidence rates were 1608/100 000 in 2004 and 1117/100,000 in 2009, respectively. There was a significant relationship between season and the number of bites (P < 0.05).
ConclusionThe incidence of animal bite in Aq Qala city was higher than that in other studies in different parts of the country. Considering the high cost of antirabies serum and vaccination, it is essential to take necessary measures reduce the incidence of this problem.
Keywords: Animal bite, Aq Qala, epidemiology, incidence, rabies
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