一起护理带状疱疹患者所致医务人员水痘暴发的调查与处理
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李波

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R181.3+2;R752.1+2

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烟台市科技计划项目(2014WS053)


Investigation and treatment of an outbreak of varicella caused by nursing herpes zoster patient
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    摘要:

    目的 明确一起护理带状疱疹患者所致医务人员水痘暴发事件的流行病学特征,为水痘和带状疱疹的医院感染防控提供依据。方法 对山东省烟台市某三级医院2018年12月重症监护病房(ICU)内临床诊断为水痘的医务人员进行流行病学调查,分析流行病学特征及发病原因。结果 2018年12月17-19日,该院ICU共报告4名医务人员罹患水痘,其中有3名护士、1名护工,潜伏期内均看护过2床的带状疱疹患者,且距发病最长潜伏期内未接触过其他水痘和(或)发热出疹病例,判断为一起护理带状疱疹引起的医务人员医院感染暴发事件,通过积极采取隔离、接种疫苗、培训等措施,处置及时,未出现后续病例。结论 带状疱疹患者作为水痘的传染源不容忽视,治疗护理时严格执行空气隔离、接触隔离、标准预防等措施,可有效防控水痘-带状疱疹病毒医院感染的发生。

    Abstract:

    Objective To clarify the epidemiological characteristics of an outbreak of varicella among health care workers(HCWs) caused by nursing herpes zoster patient, provide evidence for the prevention and control of healthcare-associated infection(HAI) of varicella and herpes zoster. Methods HCWs who were clinically diagnosed with varicella in the intensive care unit (ICU) of a tertiary hospital in Yantai of Shandong Province in December 2018 were conducted epidemiological investigation, epidemiological characteristics and causes of disease were analyzed. Results On December 17-19, 2018, 4 HCWs in ICU of this hospital were reported suffering from varicella, including 3 nurses and 1 nursing attendant who had taken care of bed-2 patient with herpes zoster, but without contact with other varicella and/or febrile eruption cases during the longest incubation period, an outbreak of HAI of HCWs caused by herpes zoster was judged, through the implementation of active isolation, vaccination, training and other measures timely, no subsequent cases occurred. Conclusion As the source of varicella infection, herpes zoster patients can not be ignored, strict implementation of air isolation, contact isolation, standard prevention and other measures can effectively prevent and control the occurrence of varicella zoster virus HAI.

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孙翠群, 孙源, 崔伟红,等.一起护理带状疱疹患者所致医务人员水痘暴发的调查与处理[J]. 中国感染控制杂志,2019,18(12):1150-1153. DOI:10.12138/j. issn.1671-9638.20195187.
SUN Cui-qun, SUN Yuan, CUI Wei-hong, et al. Investigation and treatment of an outbreak of varicella caused by nursing herpes zoster patient[J]. Chin J Infect Control, 2019,18(12):1150-1153. DOI:10.12138/j. issn.1671-9638.20195187.

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  • 收稿日期:2019-03-13
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  • 在线发布日期: 2019-12-28
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