一起医院内季节性流行性感冒暴发调查
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刘艳

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[中图分类号]R181.3+2

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An outbreak of seasonal influenza in a hospital
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    摘要:

    目的对一起医院内流行性感冒(流感)暴发进行调查和处置,为医院流感暴发的预防与控制提供参考。方法2014年7月29日—8月7日某院神经外科出现8例流感样感染者,对其进行流行病学调查,采集患者咽拭子标本进行实验室检测。结果8例感染者中神经外科医务人员6例,医务人员家属和患者各1例,感染者症状以低热、咽痛、全身乏力为主。该科室共有患者及医务人员67例,流行性感冒罹患率为11.94%,同期医院其他科室无类似感染者。6例感染医务人员咽拭子检测结果为季节性H3型流感病毒核酸阳性。医院感染管理办公室介入调查,神经外科积极进行隔离与抗病毒治疗,暴发得到有效控制。结论此起医院感染暴发为季节性H3型流感暴发,医院在开启中央空调时应加强病室开窗通风及环境消毒,同时流感流行季节应对医务人员进行流感疫苗接种,加强监测,预防医院内流感暴发。

    Abstract:

    ObjectiveTo investigate and dispose an outbreak of seasonal influenza in hospital, so as to provide reference for the prevention and control of influenza outbreak in hospital.MethodsEight cases of influenzalike infection occurred in the department of neurosurgery at a hospital between July 29 and August 7, 2014, epidemiological investigation was conducted, throat swabs of infected persons were collected for laboratory detection.ResultsOf 8 infected persons, 6 were health care workers (HCWs) in department of neurosurgery, 1 was a family member of HCW, and 1 was a patient, the major symptoms of the infected persons were lowgrade fever, sore throat, and malaise, there were 67 patients and HCWs in this department, the attack rate of influenza was 11.94%, there was no similar infection in other departments of the hospital during the same period. The throat swabs from 6 infected HCWs were positive in influenza virus nucleic acid detection. Office for healthcareassociated  infection (HAI) management participated the investigation, after active isolation and antiviral treatment, the outbreak was effectively controlled. ConclusionThis HAI outbreak is a seasonal influenza H3 outbreak, ventilation and environmental disinfection in wards should be strengthened when central air conditioning is running, antiinfluenza vaccination among HCWs should be performed during the epidemic season of influenza,and surveillance should be strengthened to prevent influenza outbreak in hospital.

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刘艳,柯荣,文斌.一起医院内季节性流行性感冒暴发调查[J]. 中国感染控制杂志,2016,15(6):417-419. DOI:10.3969/j. issn.16719638.2016.06.013.
LIU Yan, KE Rong, WEN Bin. An outbreak of seasonal influenza in a hospital[J]. Chin J Infect Control, 2016,15(6):417-419. DOI:10.3969/j. issn.16719638.2016.06.013.

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  • 收稿日期:2015-09-16
  • 最后修改日期:2015-12-28
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  • 在线发布日期: 2016-06-30
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