Infektološki glasnik, Vol. 28 No. 4, 2008.
Stručni rad
Rodent Bites in the City of Zagreb and Zagreb County in 2007
Radovan Vodopija
; Zavod za javno zdravstvo "Dr. Andrija Štampar", Zagreb, Hrvatska
Željko Čač
; Hrvatski veterinarski institut, Zagreb, Hrvatska
Darko Krajcar
; Zavod za javno zdravstvo "Dr. Andrija Štampar", Zagreb, Hrvatska
Roko Granić
; Zavod za javno zdravstvo "Dr. Andrija Štampar", Zagreb, Hrvatska
Sažetak
Rodents have a very important role in spreading infectious diseases in humans and domestic animals. They are reservoirs or vectors for many causative agents of infectious diseases in humans such as: plague, viral haemorrhagic fevers, viral haemorrhagic fever with nephrotic syndrome, leptospirosis, tularemia, salmonellosis, trichinellosis, rat bite fever, Sodoku, rabies etc. This paper gives an overview of rodent bites in the city of Zagreb and Zagreb county in 2007. During 2007, among 811 examined patients in the Antirabies ambulance of the Zagreb Institute of Public Health, 24 were cases of rodent bites, making up to 2.96% of the total number of bites. Within this number, rat was presented in 1.60 %, and other types of rodents with the remaining 1.36% (vole, mice, squirell, dormice and rabbit). Of the 24 bite cases mentioned above, 18 patients (75 %) received rabies post-exposure prophylaxis (PEP) without HRIG, while 6 patients (25 %) remained without treatment. Three patients from other counties (Zadarska, Sisačko-moslavačka and Karlovačka) came to Antirabies ambulance of the Zagreb Institute of Public Health due to continuing antirabies treatment, and were not included in this paper. They have been bitten by a rat, dormouse and a housemouse. The total number of patients bitten by rodents was 21, and they are included in this paper. All 12 patients bitten by rat were vaccinated against rabies, followed by patients bitten by dormouse, a vole and a squirrel. Of the animals that bit 6 unvaccinated patients, two dormice were tested at the Croatian Veterinary Institute and proved negative to Slika 1. Prijava i pregled ugriza Figure 1. Registration of rodent bites rabies. Three persons bitten by house mice, and one person bitten by home rabbit were not vaccinated against rabies. Patients were grouped by age as follows: 9 male persons from 21 to 81 years, 7 female persons from 31 to 70 years and 5 children from 4 to 15 years. The anatomic localisation of the wounds was as follows: fist and fingers – 15 cases (71.43%), lower limbs, upper limbs, head and face with two cases each. Geographical distribution was as follows: 13 bites in the Zagreb county and 8 in the the city of Zagreb.
Ključne riječi
rodents; bites; immunoprophylaxis
Hrčak ID:
43757
URI
Datum izdavanja:
2.12.2008.
Posjeta: 3.249 *