摘要
目的探讨疥疮感染暴发的流行因素及感染控制措施,提高医院感染暴发的识别、调查、报告和应急处置能力。方法 2015年8月某三甲医院内科ICU因1名医务人员感染疥疮,引起医务人员及家属医院感染暴发,对感染者及暴露者进行流行病学调查及分析,确定传染源及传播途径。采用边调查、边控制的原则,对所有被调查者进行全面筛查、评估、规范治疗及预防用药。结果本次调查ICU医务人员及家属共暴露人员421人,其中疥疮感染39人,感染率9.27%;首例感染者为传染源,医务人员工作服一起存放交叉污染是本次医院感染暴发的主要传播途径;通过落实各项预防控制措施,完善医院感染暴发上报流程,并对所涉及的科室人员及家属进行全面筛查、评估、规范治疗及预防用药,有效切断了感染的传播。结论疥疮具有较高的传染性,加强医务人员对疥疮感染疾病的认识,提高感染预防控制能力,能够有效预防和控制感染的扩散。
OBJECTIVE To explore the factors for outbreak and prevalence of scabies and improve the ability of identification,investigation,reporting,and emergency disposal of outbreak of nosocomial infections.METHODSIn Aug,2015,an outbreak of nosocomial infections among health care workers and family members was induced by one health care worker with scabies of internal medicine department ICU of a three-A hospital,then the epidemiological survey was conducted for the subjects with infections and the exposure so as to determine the infection sources and transmission routes,and the comprehensive screening,assessment,standardized treatment,and antibiotics prophylaxis were carried out for all of the subjects based on the＇investigating while controlling principle.RESULTS A total of 421 ICU health care workers and family members were enrolled in the study,of whom 39 were infected with scabies,with the infection rate 9.27%;the first case of infection was the infection source,the storing together of the work clothes to cause the cross contamination was the major transmission route.The spread of the infections has been effectively cut off via the implementation of the prevention and control measures,perfection of the reporting procedure of nosocomial infection outbreak,and comprehensive screening,assessment,standardized treatment,and antibiotics prophylaxis.CONCLUSIONThe scabies are highly infective.It is an effective way to strengthen the awareness of scabies and improve the ability of prevention and control of the infections so as to prevent the spread of the infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第18期4302-4304,共3页
Chinese Journal of Nosocomiology
基金
天津市卫生及计划生育委员会科技基金项目(2013KY02)
关键词
重症监护病房
疥疮感染
医院感染暴发
Intensive care unit
Scabies
Outbreak of nosocomial infection
