fa فعالیت های منجر به بروز گاز گرفتگی توسط سگ در استان گیلان اپیدمیولوژی Epidemiology پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: گاز گرفتگی توسط سگ با ایجاد تروماهای جسمی، روانی، عفونی شدن زخم و خطر انتقال بیماری‌های مشترک بین انسان و حیوان، از جمله هاری، مشکل بهداشت عمومی به شمار می آید. هدف از انجام این پژوهش شناخت فعالیت‌های منجر گاز گرفتگی توسط<font size="2"><font face="B Mitra"><span style="mso-spacerun: yes"> </span>سگ در استان گیلان است.<o:p /></font></font></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش کار</span></b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">: در یک مطالعه مقطعی طی تیر ماه 1390 تا خرداد ماه 1391 از بین مراجعه کنندگان به مراکز واکسیناسیون ضد هاری در استان گیلان، 1934 نفر از موارد گاز گرفتگی توسط سگ وارد مطالعه شدند. جهت جمع آوری داده ها از پرسش نامه محقق ساخته استفاده شد که به صورت مصاحبه حضوری تکمیل می گردید. برای تجزیه و تحلیل داده ها از آمار توصیفی و آزمون آماری کای دو استفاده شد.</span><span lang="FA" style="font-family: "B Mitra" mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">یافته‌ها:</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 13pt mso-bidi-language: FA"> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">در بین مواردی که به وسیله سگ های دارای صاحب گاز گرفته شده بودند، بیشتر موارد یعنی 7/30 درصد در حین ورود به محل نگهبانی سگ دچار گاز گرفتگی شده بودند. در بین افرادی که به وسیله سگ‌های ولگرد گاز گرفته شده بودند، بیشتر موارد یعنی 7/70 درصد بدون انجام کار خاصی دچار گاز گرفتگی شده بودند. تفاوت فعالیت منجر به گاز گرفتگی در گروه‌های مختلف سنی، وضعیت سگ، صاحب سگ، محل و مکان وقوع حادثه از نظر آماری معنی دار بود (0001/0=</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>). ولی تفاوت معنی دار بین مردان و زنان (093/0=</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) و گروه‌های مختلف ساعت وقوع حادثه مشاهده نشد (129/0=</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">p</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>).</span><span lang="FA" style="font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نتیجه</span></b><b><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt" dir="ltr">‌</span></b><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گیری</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:</span><span lang="AR-SA" style="color: black font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: Arial mso-hansi-font-family: Arial"> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">لازم است ترتیبی اتخاد گردد تا صاحبان سگ ها از مسئولیت خود در قبال رفتار سگ هایشان آگاه شوند. همچنین چگونگی رفتار با سگ و شناخت رفتار های تهدید آمیز سگ ها به افراد آموزش داده شود. برنامه های آموزشی در خصوص پیشگیری از بروز گاز گرفتگی توسط سگ متناسب با گروه‌های مختلف سنی تهیه و اجرا گردد.<o:p /></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Background: </span></b><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">Dog bite is a public health problem because of the associated physical and psychological trauma, wound infection and rabies transmission. This research aimed to </span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">survey the activity leading to the dog bite in Guilan province.</span><span style="font-size: 13pt mso-bidi-font-family: "B Mitra""><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Methods</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt">: In a cross-sectional study from 1st June 2011 to 31st may 2012 we surveyed 1934 cases of dog bites that had referred to rabies vaccination centers in Guilan province. For data collection we used, a researcher-made questionnaire which was completed by interviewers. Data were analyzed by descriptive statistic and chi square test.<span lang="AR-SA" dir="rtl"><o:p /></span></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Results:</span></b><span style="font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><font face="Calibri"> </font></span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-fareast-font-family: Calibri mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">Most of the subjects (30.7%) that were bitten by owned dogs </span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-ascii-theme-font: major-bidi mso-fareast-font-family: Calibri mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">had entered<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman" size="3"> </font></span>the dog territory</span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-fareast-font-family: Calibri mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">. Most of the subjects (70.7%) that were bitten by stray dogs had no interaction with the dog. Differences in activity</span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-ascii-theme-font: major-bidi mso-fareast-font-family: Calibri mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"> leading to the dog bite</span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-fareast-font-family: Calibri mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi"> in different age groups, status of dog, dog owner, location and area of incidence were statistically significant (p= 0.0001), but between two genders (p= 0.093) and in different incidence time groups they were not statistically significant<span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><font face="Times New Roman" size="3"> </font></span><span dir="ltr"></span><span dir="ltr"></span>(p= 0.129).</span><span style="font-family: "Times New Roman","serif" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Conclusions: </span></b><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-ascii-theme-font: major-bidi mso-hansi-theme-font: major-bidi mso-bidi-theme-font: major-bidi">Dog owners should be aware of their responsibility for their dogs’ behaviors. Also how to deal with dogs and dog’s threatening behavior should be taught to people. Designing educational content based on the results of this study for dog bite prevention is necessary for different age groups.<o:p /></span></p><font face="Times New Roman" size="3"> </font> فعالیت، گاز گرفتگی توسط سگ، آسیب Activities, Dog bite, Injury 9 17 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1494&slc_lang=fa&sid=1 Davood Pourmarzi داوود پورمرزی 3900319475328460025100 3900319475328460025100 Yes Guilan University of Medical Sciences معاونت بهداشتی دانشگاه علوم پزشکی گیلان Maryam Razi مریم رازی 3900319475328460025101 3900319475328460025101 No Guilan University of Medical Sciences معاونت بهداشتی دانشگاه علوم پزشکی گیلان