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1、狂犬病暴露预防处置工作规范(2009年版)(Codeofworkonpreventionandtreatmentofrabiesexposure(2009edition))Codeofworkonpreventionandtreatmentofrabiesexposure(2009edition)Friday,December3,2010Codeforpreventionofrabiesexposure(2009)Time:December21,2009entry:networkresourcemanager1Article1withaRabiesexposure
2、referstobytherabies,suspectedrabiesornotsurehealthyrabieshostanimalbites,scratches,lickingmucousmembranedamageorskin,oropenwounds,mucousmembranecontactmaybecontaminatedwithrabiesvirusanimalsalivaororganization.Article2theexposureofrabiesisdividedintothreelevelsaccordingtothecontactmet
3、hodandexposurelevel.Contactorfeedtheanimals,ortheintactskinislickedtoclassI.Bareskinisbite,minorscratches,bruisesornobleedingforⅡlevel.Morethansimplyorthemselvesabiteorscratchtheskin,ordamagedskinislicking,oropenwounds,mucousmembranepollutedⅢlevel.Article3theThedoctorattherabiespreven
4、tionandtreatmentclinicshallimmediatelycarryoutthewoundtreatmentaccordingtotheneedafterdeterminingtheexposurelevel;Thecorrespondingdisposalmeasuresshallbetakenafterinformingtheexposedpersonsoftheharmofrabiesandthemeasurestobetakenandinformedconsent.Article4shallbedeemedtobeanI-classexp
5、osedpersonwithoutanyneedfordisposal.Article5.JudgedⅡexposurelevel,shallbeimmediatelytreatedthewoundandvaccinatedagainstrabies.IdentifiedasgradeⅡexposureandaweakenedimmunesystem,orgradeⅡexposedintheheadandfaceinjuriesanimalscannotdeterminehealth,accordingtothelevelⅢexposuretreatment.Ar
6、ticle6todetermineⅢexposurelevel,shallbeimmediatelytreatedthewoundandinjectrabiespassiveimmunitypreparation,thentherabiesvaccine.Article7.Thewoundtreatmentincludesthoroughflushinganddisinfection.Theearlierthetreatment,thebetterthelocalwoundtreatment.Ifthewoundhasbeenscabbedorhealed,the
7、woundshouldnotbetreated.Ifthepainisintenseduringcleaningordisinfection,localanesthesiacanbegiven.Woundrinse:use20%ofsoapywater(orotherweakalkalinecleaner)andcertainpressureofflowingwatertorinsethoroughly,rinseandrinseallbitesandscratchforatleast15minutes.Thenwashthewoundwithsaline(orw
8、ateri