三起医务人员发生临床诊断水痘聚集性疫情的调查分析与预防控制效果

发布时间：2018-04-18 08:18

本文选题：水痘-带状疱疹病毒 + 水痘　；参考：《中华医院感染学杂志》2017年09期

【摘要】：目的总结和分析了某综合医院在2016年9-11月发生的三起医务人员临床诊断水痘聚集性疫情的临床特征、流行病学特征以及医院感染控制工作的经验与教训,为临床诊治提供参考依据。方法参考国家疾病预防控制信息报告系统资料,通过电话问询、实地访谈相关人员收集数据,采用描述性统计方法分析12例疫情病例的分布特征及发病原因和疫情控制要点。结果医院感染可能是三起聚集性医务人员发生临床诊断水痘疫情中的两起疫情的高危因素;根据水痘-带状疱疹病毒的病原学特点和水痘的临床特征,强化规范执行预防和控制水痘在医院内播散的一揽子应急方案;12名曾患水痘的医务人员基本痊愈并重返工作岗位,曾经护理过的患者也都平稳度过了医学观察期,未监测到水痘病例。结论落实标准预防和空气隔离及接触隔离工作制度,同时监测医务人员的水痘免疫状态,可以有效预防控制水痘-带状疱疹病毒的医院感染。
[Abstract]:Objective to summarize and analyze the clinical characteristics, epidemiological characteristics, experience and lessons of hospital infection control in three cases of clinical diagnosis of chickenpox in a general hospital from September to November, 2016.To provide reference for clinical diagnosis and treatment.Methods with reference to the national disease prevention and control information reporting system, the data were collected by telephone and field interviews, and the distribution characteristics, the causes and the main points of epidemic control of 12 cases were analyzed by descriptive statistical method.Results Nosocomial infection may be the high risk factor of two outbreaks in three cases of clinical diagnosis of chickenpox by medical personnel, according to the pathogenic characteristics of varicella-zoster virus and the clinical characteristics of varicella.Strengthening and standardizing the implementation of the Emergency Plan for the Prevention and Control of Chickenpox spread in Hospitals 12 medical personnel who have suffered from chickenpox have basically recovered and returned to work, and all the patients who have been cared for have also smoothly passed the period of medical observation.No chickenpox cases were detected.Conclusion to implement the standard prevention, air isolation and contact isolation system, and to monitor the immune status of varicella among medical workers, can effectively prevent and control hospital infection of varicella-herpes zoster virus.
【作者单位】：中日友好医院医院感染管理办公室;中日友好医院医院呼吸与危重症医学科二部;中日友好医院医院外科重症监护病房;中日友好医院医院院办;
【基金】：国家科技部中日合作卫生技术人员培训基金资助项目(国科外字2014-3046)
【分类号】：R511.5

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