Clinical analysis of rabies cases in 53 children

Objective:To summarize the epidemiology and clinical feathers of rabies in children.Methods:Clinical data of 53 diagnosed rabies cases in the Children's Hospital of Chongqing Medical University from November 2006 to December 2011 were retrospectively analyzed.Results:Age of the 53 children was from 1 year and 3 months to 14 years with an average of 7.5 years.Gender ratio was 2.31∶1.Among the 47 cases which had clearly exposure history,43 were attacked by dogs and 4 scratched by cats;only 7 did rabies vaccination and 1 treated the wound in hospital after the bite,none took immunoglobulin.According to clinical manifestation,77.36% had fever,69.81% had hydrophobia and fear of wind,33.96% had hyperspasmia.Nineteen patients died in hospital,of which 4 did autopsy.Parents of 34 patients gave up the therapy.Conclusions:Rabies is a zoonosis with high mortality and poor prognosis;children are of high risk and should be timely realized by parents and doctors.