Epidemiological Aspects of Antirabies Activities in Split-Dalmatia County

U ovom radu su opisane epidemiološke karakteristike bjesnoće te je izvršena analiza epidemioloških karakteristika osoba koje su se javile zbog ozljede/kontakta od bijesne ili na bjesnoću sumnjive životinje u Antirabičnu stanicu Split Nastavnog zavoda za javno zdravstvo Splitsko –dalmatinske županije u petnaestogodišnjem razdoblju od 2000. do 2014. godine. Napravljena je distribucija pregledanih osoba prema dobi, spolu, zdravstvenom stanju i vrsti životinje koja je nanijela ozljedu ili je s njom bila u kontaktu. Prikazane su osobe koje su dobile antirabičnu zaštitu prema zdravstvenom stanju životinje i prema lokalizaciji ozljede na tijelu. Analiza je izvršena uvidom u antirabičnu anketu svake osobe ozlijeđene u razdoblju od 2000. – 2014. godine na području Splitsko – dalmatinske županije. Ukupno je pregledana 5890 osoba, od čega je 1887 odnosno 32,04 % cijepljeno protiv bjesnoće. Od tog broja, 1642 ih je primilo samo antirabično cjepivo, a 244 kombinaciju cjepiva i humanog antirabičnog imunoglobulina (HRIG). Distribucija zadanih ozljeda po učestalosti ugriza je slijedeća: šaka i prsti, noga, ruka, glava i vrat, te trup. Osobe koje su primile antirabičnu zaštitu, najčešće su bile ugrižene od pasa 1127 (59,72 %) ili mačke 430 (22,79 %). Zastupljenost životinjskih vrsta u ukupnom broju pregledanih i obrađenih pacijenata je sljedeća: pas (77,57 %), mačka(15,16 %), glodavci (3,51 %), lisica (1,36%) te ostale vrste životinja (1,31 %).Analysis conducted in this paper regards characteristics of people who reported contact with or injury by rabies infected or rabies suspected animals from the year 2000. – 2014. In Split Antirabic clinic part on Public health department oft the Split – Dalmatia district. Distribution of patients was made according to age, gender, health condition and type of animal that injured or came in contact with patients. Information regarding patients that antirabies protection are also given according to animal health condition and location of the body injury. Analysis is based on Antirabies inquiry made among patients treated in the period from 2000. – 2014. In the period 2000. -2014. a total of 5890 persons reported to the Antirabies Station in Split, after having contact with various animals. Of the above number of patients, 1887 (32,04 %) were given post-exposure rabies treatment: 1642 receiving rabies vaccine only and 244 receiving a combined active-passive treatment with vaccine and human rabies immunoglobulin (HRIG). The anatomical distribution of the bites by order of frequency was as follows: leg, fist and fingers, hands, head and neck and trunk. The animals involved in the incidents with treated patients were dogs 1127 (59,72 %) or cats 430 (22,79 %). The animals of contact in the total number of reporting persons was: dogs (77,57 %), cats (15,16 %), rodents (3,51 %), foxes (1,36 %) and other (1,31 %)