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爱医币
鲜花
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本帖最后由 tanky200 于 2014-6-6 22:55 编辑
根据WHO世卫组织在2012日内瓦专门组织狂犬病专家的讨论会的总结报告http://www.who.int/iris/bitstream/10665/85346/1/9789240690943_eng.pdf?ua=1
在chapter 8.2的post-pousure for human中有介绍的
postexposure prophylaxis should be instituted immediately. If possible, the suspect animal
should be identified, quarantined for observation (for healthy dogs and cats) or
euthanized for laboratory examination. Prophylaxis should be continued while
awaiting laboratory results or during the observation period. If the laboratory tests
are positive, an immediate retrospective risk assessment should be conducted to
identify all people who may have been exposed, and they should be given postexposure
prophylaxis.
Prophylaxis should be completed if the suspect animal is not available
for testing or observation but may be discontinuedif the animal is proved by
appropriate laboratory examination to be free of rabies. When the domestic dog,
cat or ferret at the origin of human exposure is healthy, properly vaccinated (at
least two documented vaccinations with a potent vaccine) and easily accessible
for observation for 10 days, proper wound management should be ensured and
booster vaccination can be deferred, especially if the patient had received preexposure
prophylaxis or previous post-exposure prophylaxis in the past 3 months
即是被咬或者刮伤之类的都是建议立即注射狂犬疫苗,但是如果是被家狗或家猫,而且该动物(之前有免疫史)在10天观察期内能保持健康,而狂犬病暴露患者又有及时处理伤口,则余下的疫苗可以自由选择延迟注射或中止注射,特别是3个月内有做过PEP的
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