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目的探讨输入性黑热病患者临床特征及其院感防控措施。方法回顾性分析1例输入性黑热病患者的临床表现、实验室检查、诊治情况,并落实包括单间隔离、防蚊灭蚊,并对血液、体液污染后器械、物品及环境规范消毒或无害化处理等综合院感防控措施。结果该例黑热病患者主要临床表现为发热、肝脾和淋巴结肿大、全血细胞减少及血浆球蛋白明显增高,予葡萄糖锑钠规范治疗后好转出院,同病区其他患者未出现类似病例感染情况,也未发生医务人员职业暴露及感染情况。结论黑热病的临床表现无特异性,误诊及漏诊率较高,对疑似病例应尽早进行骨髓涂片或组织活检查找病原体,并结合抗体检测及时诊治;同时严格落实综合防控措施是可以进行有效院内感染防控的。
Objective To investigate the clinical characteristics of patients with imported kala-azar and their control measures. Methods The clinical manifestations, laboratory tests, diagnosis and treatment of one patient with imported kala-azar were retrospectively analyzed. The isolation and isolation of mosquitoes and mosquitoes were carried out. Sterilization or decontamination of equipment, articles and environment after blood and body fluid contamination Treatment and other comprehensive prevention and control measures. Results The main clinical manifestations of patients with kala-azar were fever, hepatosplenomegaly and lymph nodes, pancytopenia and plasma globulin was significantly higher, after the standard treatment of glucose and antimony sodium was better discharged, with other patients in the ward did not appear similar cases of infection, Nor did medical occupational exposure and infection occur. Conclusion The clinical manifestations of kala-azar are nonspecific, misdiagnosis and misdiagnosis rate are high. In suspected cases, pathological examination of bone marrow smears or tissue biopsies should be carried out as early as possible to detect the pathogens in time. Combined with the detection of antibodies, timely diagnosis and treatment should be carried out. At the same time, Infection prevention and control.