국내에서의 동물에 물린 환자에 대한 공수병 예방백신 접종결정에 관한 연구

Decision making of human deploid cell rabies vaccine administration for animal bite cases in Korea

In spite of low rabies risk in the southern part of Korean peninsula, the possibility of rabies incidence still exists especially in the vicinity of the Demilitarized Zone. This study was conducted to investigate the appropriate use of post-exposure rabies immunization focused on how the administration of Human Deploid Cell Rabies Vaccine(HDCV) was decided at the Rabies Advisory Board, by using the animal bite control system at the Evacuation Hospital of US Forces Korea. All the available information of 485 cases of bite accidents were collected through the patient interview and the bite animal tracing during 1984-1992. The rate of the Board convened was 17.1% of all bite cases. The Eoard was convened to determine the initiation of HDCV administration was 4.3% of all bite incidences. Vaccination status of the animal was most significant variable reviewed when making this important decision at the Board(P＜0.01). Of the animal not secured, the highest HDCV decision rate was 66.7% in case of stray animal bite and followed by 54.5% of animal death during quarantine. In case of death or abnormal behavior of the animal during the quarantine, the brain was sent to the laboratory for FRA and MI testing. All the results were negative and the HDCV administrations were discontinued.