一起新生儿伦敦沙门菌感染流行病学调查及分析

发布时间：2019-01-11 14:04

【摘要】：目的通过对一起新生儿伦敦沙门菌感染事件进行调查与分析,总结预防控制经验,为防止该类事件的发生提供依据。方法于2011年12月29日-2012年1月13日调查新生儿内科108例患儿临床资料,采取现况调查与回顾性调查相结合的方法,对该次事件中的感染病例进行流行病学调查和环境卫生学监测,并分析存在的危险因素。结果该次事件共持续16d,调查病例108例,发现感染病例33例,罹患率为30.56%,时间分布呈现细菌性食源性疾病的流行特点,空间分布有聚集性,环境卫生学监测结果显示污染的环境和手是造成沙门菌属感染传播的重要途径,暴露于ICU、食用早产儿奶、接触护理人员是危险因素。结论此次腹泻事件是一起由细菌性食源性疾病引起的疑似感染暴发事件,通过采取综合防控措施该事件得到有效控制。
[Abstract]:Objective to summarize the experience of prevention and control through the investigation and analysis of an incident of London Salmonella infection in newborns, and to provide evidence for the prevention of this kind of incident. Methods from December 29, 2011 to January 13, 2012, the clinical data of 108 neonates in Department of Neonatal Medicine were investigated. Epidemiological investigation and environmental hygiene monitoring were carried out to analyze the risk factors. Results the event lasted for 16 days, 108 cases were investigated, 33 cases of infection were found, the attack rate was 30.56%. The time distribution showed the epidemic characteristic of bacterial foodborne disease, and the spatial distribution was clustered. Environmental hygiene monitoring results showed that contaminated environment and hands were important ways to cause the transmission of Salmonella infection. Exposure to ICU, in milk of premature infants and contact with nursing staff were the risk factors. Conclusion the diarrhea event is an outbreak of suspected infection caused by bacterial foodborne disease, which can be effectively controlled by taking comprehensive prevention and control measures.
【作者单位】：武汉市儿童医院院感科;
【基金】：武汉市卫生科研基金项目(10G12C09)
【分类号】：R181.32

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