CAJ | 학술논문

目的：调查某院一起疥疮医院感染暴发的原因和处置方法。方法2013年5月该院因1例“挪威疥疮”患者误诊，引起医务人员疥疮医院感染暴发，该院医院感染控制科对暴发事件进行流行病学调查，并根据调查结果指导医疗及消毒隔离。结果医务人员及其家属，共计27人感染挪威疥疮。经积极药物治疗，患者病情逐渐好转；患者使用过的物品全部用塑料口袋包装密封1周后进行清洗消毒。经积极治疗加严格清洗消毒后，感染流行趋势得到控制，未再出现新发病例。结论挪威疥疮传染性高，可在局部地区造成流行，需提高医务人员对本病的诊断能力；一旦发生医院感染，应采取快速、有效措施，防止其蔓延、扩散。
목적：조사모원일기개창의원감염폭발적원인화처치방법。방법2013년5월해원인1례“나위개창”환자오진，인기의무인원개창의원감염폭발，해원의원감염공제과대폭발사건진행류행병학조사，병근거조사결과지도의료급소독격리。결과의무인원급기가속，공계27인감염나위개창。경적겁약물치료，환자병정축점호전；환자사용과적물품전부용소료구대포장밀봉1주후진행청세소독。경적겁치료가엄격청세소독후，감염류행추세득도공제，미재출현신발병례。결론나위개창전염성고，가재국부지구조성류행，수제고의무인원대본병적진단능력；일단발생의원감염，응채취쾌속、유효조시，방지기만연、확산。
Objective To investigate the causes and treatment measures of an outbreak of Norwegian scabies oc-curred in a hospital.Methods In May 2013,an outbreak of Norwegian scabies among health care workers(HCWs) occurred because of the misdiagnosis of a patient with Norwegian scabies,epidemiological investigation was carried out by healthcare-associated infection(HAI)control department,medical intervention and disinfection and isolation measures were performed.Results A total of 27 HCWs and patients’relatives developed Norwegian scabies.After active medical treatment,patients’condition improved;all appliances used by patients were cleaned and disinfected after being wrapped and sealed with plastic bags for one week.Epidemic trend of infection was under control and no new case was found.Conclusion With highly contagious,Norwegian scabies can be spread in local area,it is neces-sary to improve HCWs’diagnostic ability to this disease and take effective measures to prevent the epidemic once HAI occur.