关键词: 狂犬病, 暴露后预防处置, 门诊

Abstract: Objective To master the current situation of infrastructure and service ability of rabies post-exposure prophylaxis (PEP) clinics in Tianjin and provide evidence for rabies control. Methods All PEP clinics were investigated. The contents included area settings, clinic management, human resources, facilities, and service ability and the data collection of exposure cases. Results There were 95 clinics (grade A 18, grade B 77) in Tianjin, 86 clinics were set up in medical institutions while the others were in the CDC. Each clinic had an average of 3 nurses, 5 doctors, and all the staff in medical institutions were part-time. About 20% of the clinics' services had defects in the district assignment, hardware facilities, and the outpatient registration, especially in the clinics of grade B. All medical personnel have been trained and evaluated for their responsibilities. A total of 95 951 persons (first visit) were admitted to the hospital throughout the year, and there was a great gap between different clinics. Conclusion The construction of animal injury treatment clinic in our city has achieved initial success, but there are still problems. The management of some outpatient departments should be strengthened.

Key words: Rabies, Post-exposure prophylaxis, Clinic