国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2014年
2期
114-116
,共3页
疥疮%暴发%防治
疥瘡%暴髮%防治
개창%폭발%방치
Scabies%Outbreak%Prevention and treatment
目的 分析重症监护病房内一起疑似疥疮的流行规律、临床特征,为采取有效预防与控制措施提供科学依据. 方法 采取病例查阅和现场流行病学调查的方式,对疑似疥疮暴发的时间分布、空间分布及人群分布等特征进行分析. 结果 本次调查发现,2011年8月底至10月中旬在同一重症监护病房内发生3名患者和2名医务人员疑似感染了疥疮,5名医患人员皮疹部位及瘙痒特征相似,发病时间和地点集中,存在交叉感染的可能性.5名医患人员使用硫磺软膏全身涂搽2个疗程后,症状逐渐缓解或消失,治疗效果明显,并给予了疥疮相关知识的教育指导,使用药物治疗和采取消毒隔离等措施后暴发得到控制,再无新发病例. 结论 未能及时考虑感染疥疮的可能性是发生本次医院感染暴发的主要原因.医务人员要掌握疥疮发病的临床特点,早期识别并采取有效的消毒隔离措施,以防止医院感染暴发再次发生.
目的 分析重癥鑑護病房內一起疑似疥瘡的流行規律、臨床特徵,為採取有效預防與控製措施提供科學依據. 方法 採取病例查閱和現場流行病學調查的方式,對疑似疥瘡暴髮的時間分佈、空間分佈及人群分佈等特徵進行分析. 結果 本次調查髮現,2011年8月底至10月中旬在同一重癥鑑護病房內髮生3名患者和2名醫務人員疑似感染瞭疥瘡,5名醫患人員皮疹部位及瘙癢特徵相似,髮病時間和地點集中,存在交扠感染的可能性.5名醫患人員使用硫磺軟膏全身塗搽2箇療程後,癥狀逐漸緩解或消失,治療效果明顯,併給予瞭疥瘡相關知識的教育指導,使用藥物治療和採取消毒隔離等措施後暴髮得到控製,再無新髮病例. 結論 未能及時攷慮感染疥瘡的可能性是髮生本次醫院感染暴髮的主要原因.醫務人員要掌握疥瘡髮病的臨床特點,早期識彆併採取有效的消毒隔離措施,以防止醫院感染暴髮再次髮生.
목적 분석중증감호병방내일기의사개창적류행규률、림상특정,위채취유효예방여공제조시제공과학의거. 방법 채취병례사열화현장류행병학조사적방식,대의사개창폭발적시간분포、공간분포급인군분포등특정진행분석. 결과 본차조사발현,2011년8월저지10월중순재동일중증감호병방내발생3명환자화2명의무인원의사감염료개창,5명의환인원피진부위급소양특정상사,발병시간화지점집중,존재교차감염적가능성.5명의환인원사용류광연고전신도차2개료정후,증상축점완해혹소실,치료효과명현,병급여료개창상관지식적교육지도,사용약물치료화채취소독격리등조시후폭발득도공제,재무신발병례. 결론 미능급시고필감염개창적가능성시발생본차의원감염폭발적주요원인.의무인원요장악개창발병적림상특점,조기식별병채취유효적소독격리조시,이방지의원감염폭발재차발생.
Objective To analyze the epidemic features and clinical characteristics of a scabies outbreak in the intensive care unit (ICU),so as to provide basis for the prevention and control measures of the infections.Methods The distributions by people,time and place of the suspected scabies were analyzed by description of each cases and investigation of the epidemiological status of the exposure.Results The survey found,3 patients and 2 medical staffs were suspected to have scabies infection during the end of August to mid October in 2011.The exposure may cause by cross-infection due to the concentrated time and place of the cases.Characteristics of the rash and the pruritus of the cases were similar and they were cured after 2 courses of sulfur ointment treatment.Training for all involved persons,effective treatment of the cases and measures of disinfection and isolation contributed to the successful termination of the outbreak.Conclusion Lack of rapid diagnoses and treatment is the main cause of this suspected scabies exposure.It is suggested that more careful observation,early detection and diagnosis,as well as effective disinfection and isolation measures are of great significance to prevent outbreaks to happen again.