Abstract：Objective To understand the status quo of rabies post-exposure prophylaxis clinics in Qinghai province so as to provide a basis for standardizing the setting-up of post-exposure prophylaxis clinics and post-exposure treatment. Methods A uniform designed rabies post-exposure prophylaxis clinic questionnaire was used to conduct a field investigation. We collected the service content of each post-exposure prophylaxis clinic, the number of medical professionals, layout and division, wound disposal, cold chain and other hardware facilities, management system and the annual service quantity, and then comprehensively analyzed the current situation of outpatient service. Results Only 8.76% (12/137) outpatient clinics in the province could simultaneously performed wound disposal, rabies vaccine and passive immunization preparation inoculation, and all concentrated in Xining city, Haidong city and Yushu Tibetan autonomous prefecture. The median number of qualified clinical practitioners (including assistants) in each clinic was 2, and the median number of post-exposure prophylaxis clinics in 46 counties of the province was 2.55 (QR: 2.73). The number of outpatient visits per capita was found to be the highest in Dachaidan (26.41 clinics/100,000) and Wulan county (16.81 clinics/100,000), while the number of outpatient visits per capita was found to be the lowest in Minhe county (0.54 clinics/100,000) and Chengdong district (0.52 clinics/100,000). The median of scoring about basic hardware supporting facilities, services and management of different types of post-exposure prophylaxis clinics showed significant differences. In 2018, the average number of visits of exposed outpatients was 152 persons, and the number of visits of post-exposure prophylaxis clinics in different regions also showed significant differences (H=16.66, P=0.02). Conclusions The settings and service capacity of post-exposure prophylaxis clinics in Qinghai province vary greatly from region to region, and basic hardware facilities, standardized service and management, and the proportion of providing rabies passive immunization preparation should be improved.
徐莉立, 张华一, 赵金华, 李永红, 丁小津, 冯华祥, 曹海兰, 石燕, 马斌忠, 马永成. 青海省狂犬病暴露处置门诊服务能力与现状分析[J]. 实用预防医学, 2020, 27(11): 1396-1399.
XU Li-li, ZHANG Hua-yi, ZHAO Jin-hua, LI Yong-hong, DING Xiao-jin, FENG Hua-xiang, CAO Hai-lan, SHI Yan, MA Bin-zhong, MA Yong-cheng. Service ability and status quo of rabies post-exposure prophylaxis clinics in Qinghai province. , 2020, 27(11): 1396-1399.
2020, Vol. 27 
