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

摘要： 目的 掌握天津市动物致伤处置门诊建设现状与服务能力，为进一步规范门诊管理、提高狂犬病防控能力提供依据。方法 对天津市2016年全部在册动物致伤处置门诊开展现场调查，内容包括硬件设置、医院管理、人员配置和服务能力等，收集各门诊就诊人员统计报表进行统计分析。结果 2016年天津市共95家（甲级18家、乙级77家）动物致伤处置门诊开诊，其中86家门诊设置在医疗机构，其余均设置在各级CDC。每个门诊约3名护士、5名医生，医疗机构门诊工作人员均为兼职。近20%门诊在分区、硬件设施上存在不足，门诊登记不全，乙级门诊问题较多。全部医务人员均经培训考核合格后上岗。全年共接诊暴露人员95 951人次（首诊），各门诊接诊量差距极大。结论 天津市动物致伤处置门诊建设取得初步成效，但仍存在问题，部分地区门诊管理有待加强。

关键词: 狂犬病, 暴露后预防处置, 门诊