2016年济南市狂犬病暴露处置门诊现状调查

Survey on status quo of rabies post-exposure prophylaxis clinics,Jinan city,2016

目的了解济南市狂犬病暴露处置门诊分布、功能设置和医务人员配置等服务现状,为狂犬病暴露处置门诊的规范化建设提供依据。方法制定调查方案,设计调查表,由统一培训的调查员于2016年8~10月对全市开展狂犬病暴露处置的门诊开展现场调查。结果 2016年济南市共84处门诊具有狂犬病暴露处置资质。其中,90.48%(76/84)设在医疗机构,91.67%(77/84)能够做到24小时值班,77.38%(65/84)相对独立;73.81%(62/84)面积达到25 m2以上;80.95%(68/84)分区相对合理;84.52%(71/84)配备下肢伤口清洗池;仅48.81%(41/84)能提供热水冲洗伤口。从业人员中专职人员仅占17.62%(148/840),副高仅占4.76%(40/840)。结论济南市狂犬病暴露处置门诊的规范化建设情况良好,伤口处理设施较为完善。

Objective To understand the distribution,function settings and medical staff of rabies post-exposure prophylaxis clinics in Jinan city.So as to provide basis for the standardization and construction of rabies post-exposure prophylaxis clinics. Methods A survey was conducted in all rabies post-exposure prophylaxis clinics in Jinan city during AugustOctober 2016,with properly designed questionnaires by trained investigators. Results There were a total of 84 qualified rabies post-exposure prophylaxis clinics in Jinan city,90.48%（76/84）were set in medical institutions.91.67%（77/84）had 24 hours service.77.38%（65/84）were relatively independent,and had a fully functional partition,In terms of floor area,clinics（≥25 m^2）accounted for 73.81%（62/84）.80.95%（68/84）were of rationalization partition.And 84.52%（71/84）had wound washing facilities in the consulting rooms or nearby.However,only 48.81%（41/84）of clinics had twophase hot and cold water supply.Full-time staff only accounted for 17.62%（148/840）,staff in senior positions were only4.76%（40/840）. Conclusion The conditions and settings of rabies post-exposure prophylaxis clinics are good,nevertheless,equipment and regulations should be improved.