目的了解淄博市狂犬病暴露者疫苗接种的依从性情况,为提高依从性的数据支持。方法依据2012年1-12月淄博市疾病预防控制中心接种门诊因动物损伤而就诊的病人登记情况,对狂犬病暴露者的疫苗接种情况进行依从性分析。结果接诊的2 824例狂犬病暴露者中,完全遵从医嘱全程接种者2 372例,疫苗接种依从性为83.99%;Ⅲ级暴露者的依从性明显好于Ⅱ级暴露者,前三针的依从性较高,第四、五针明显下降;暴露者在0~15岁、15~50岁和50岁以上组的依从性分别为93.76%、80.18%、86.70%;儿童的依从性明显好于青壮年,城区居民的依从性明显高于农村(P<0.05)。不依从的主要原因依次为接种时间长、次数多(占39.38%)、其他如交通、遗忘等(占19.91%)、费用较高(占19.25%)、狂犬病认识不足(占15.93%)、药物副反应(占5.53%)。结论多种因素导致淄博市狂犬病暴露者疫苗接种的依从性还有待提高,应通过加强医患沟通和健康宣传,推广2-1-1程序,提高依从性,更有效地预防本市狂犬病的发生。 Objective To understand the compliance of vaccination against rabies exposed persons in Zibo City and to provide data support for improving adherence. Methods Based on the registration of patients admitted to Zibo City Center for Disease Control and Prevention from Jan. to Dec. 2012 due to animal injuries, compliance analysis was conducted on the vaccination of rabies exposed persons. Results Among the 2 824 rabies exposed cases, 2 372 cases were completely vaccinated and their compliance with vaccination was 83.99%. The compliance of class Ⅲ exposed patients was significantly better than that of Ⅱ class exposed patients. The compliance of the first three doses The fourth and fifth stitches decreased significantly. The compliance rate of the exposed group was 93.76%, 80.18% and 86.70% respectively at the age of 0 ~ 15, the age of 15 ~ 50 and the age of 50. The compliance of the children was obviously better than that of the children Adherence of young adults and urban residents was significantly higher than that of rural areas (P <0.05). The main reasons for non-compliance were as follows: long time of inoculation, frequent number of visits (39.38%), others such as transportation and forgetting (19.91%), high cost (19.25%), lack of knowledge of rabies (15.93%), Side effects (accounting for 5.53%). Conclusion The compliance of vaccination with rabies exposed persons in Zibo City needs to be improved due to many factors. The 2-1-1 procedure should be popularized by strengthening communication between doctors and patients and health promotion, so as to improve compliance and prevent the occurrence of rabies in the city more effectively .