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目的调查一起医务人员医院内感染结核病原因,采取现场处置方法。方法通过现场流行病学调查方法和现场环境监测方法进行了感染原因调查与分析。结果该医院ICU在2011年5月-9月期间连续发生9例医务人员感染结核病,1例疑似感染病例,占该科室医务人员总数的23.81%,护士占多数。该科室曾在2009年7月和2010年2月入住过2例活动性肺结核患者,并在科室实施过机械通气和吸痰等操作,该科室医务人员多数与此病例有过密切接触。经过积极临床治疗和有效消毒隔离措施,再无新发病例出现。结论该医院ICU所发生的医务人员结核病感染为密切接触感染,所采取的临床治疗和消毒隔离措施有效,医院内感染疫情得到有效控制。
Objective To investigate the causes of tuberculosis among medical staff in hospitals and to take on-site treatment. Methods Investigate and analyze the cause of infection through on-site epidemiological investigation methods and on-site environmental monitoring methods. Results Nine cases of medical staff were infected with tuberculosis and one case of suspected infection in ICU of the hospital during May-September 2011, accounting for 23.81% of the total number of medical staff in the department. Nurses accounted for the majority. In July 2009 and February 2010, the department had admitted 2 active tuberculosis patients and performed mechanical ventilation and suctioning in the department. Most of the medical staff in this department had close contact with this case. After active clinical treatment and effective disinfection and isolation measures, there are no new cases. Conclusion The TB infection among medical staff in ICU of the hospital is closely related to infection. The clinical treatment and disinfection and isolation measures taken are effective. The epidemic situation in the hospital is effectively controlled.