Study situation And the treatment of suspected contact or exposure rabies of Mahasarakham Hospital.

Abstract

Objective : To study the situation of rabies exposure. to investigate the circumstances of the exposure or suspected exposure to rabies 2) To review guidelines
for exposure rabies treatment in the outpatient department, emergency room, community health center.

Methods : A retrospective study the study group include those who had been vaccinated against rabies, 1,679 person were exposed to pet a rabies multidisciplinary team of 28 person and 10 person. The research instrument was medical records of patients investigation and focus group discussion. Data were analyzed using descriptive statistics.

Result : 1) People who are vaccinated against rabies. Most of the bite and scratch wounds bleed 96.12 %, followed by the bite marks, bruising 1.85 %.The bitten limb is 41.39 % and 1.55 % of the face. Wash the wound before hospitalization 65.75 % and 34.25 % did not wash the wound. Vaccinated against rabies By injection under the skin + RIG 30.14 % intramuscular + RIG 29.12%. 2) The animals are exposed to rabies. The scratches but no bleeding of 6 person by providing food and feed 22 person. Had been vaccinated against rabies within 7 days after the third dose of 4 person. Vaccinated against rabies every three needles, but more than seven days, a total of 24 person. 3) The results of the review guidelines for the treatment of rabies exposure. Are as follows: (1) the treatment process. The drug did not meet the same treatment (2) treatment process with many steps, too. The cause of the service disruption (3)
guidelines are not clear. Patients have to waste time and delay in treatment.

Conclusion : The study shows that revising the exposure rabies treatment. It is extremely important and useful to those who receive services quickly and accurately.

Keywords : Treatment Guidelines, Rabies