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

Investigation of three clustering epidemics of clinically diagnosed chickenpox among healthcare workers and effect of prevention and control measures

  • 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 investigate the epidemiological characteristics and clinical features of three clustering epidemics of clinically diagnosed chickenpox among health care workers in a general hospital from Sep 2016 to Nov 2016 and summarize the experience and lessons of control of nosocomial infections so as to provide guidance for clinical diagnosis and treatment. METHODS By referring to National Network for Disease Control and Prevention and Public Health Information System in China, the data were collected via telephone call inquiries and onsite interviews with related personnel; the distribution characteristics of 12 cases of epidemics, causes of epidemics, and key points of control of epidemics were analyzed by means of descriptive statistical analysis method. RESULTS Hospital-associated infection might be a high-risk factor for two of three clustering epidemics of clinically diagnosed chickenpox among the health care workers.A package of emergency plans for prevention and control of spread of chickenpox in the hospital were intensified and implemented in accordance with etiological characteristics of varicella-zoster virus and the clinical characteristics of chickenpox.Totally 12 health care workers who had chickenpox were basically cured and returned to work position, the patients who were taken care by the health care workers have peacefully spent the medical observation period, and no case of chickenpox has been monitored. CONCLUSION It is an effective way to implement the standard prevention, air isolation, and contact isolation systems and monitor the immune state of chickenpox of the health care workers so as to control and prevent the nosocomial infection caused by varicella-zoster virus.

     

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