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目的调查一起院内感染引起麻疹暴发的原因,为制定防控措施提供依据。方法用描述流行病学进行方法分析。结果入住儿科同一病房治疗的患儿10例中发生麻疹病例7例(70.00%),另两例属于外来交叉感染,共发生9例麻疹疫情。疫情自3月14日至3月21日,将近10天。疫情爆发的主要原因是麻疹病人未能早期诊断,并隔离治疗。疫情发生后,经加强预检分诊,严格筛查,开展院内麻疹主动监测严格隔离消毒制度等综合措施,疫情得到控制。结论加强院内感染管理对控制传染病疫情有重要作用。做好日常消毒防护,发现传染源尽早隔离治疗,避免疫情的发生。同时应对小月龄,特别是6月龄以下婴儿麻疹免疫策略作进一步研究和调整。加强疫苗接种工作,降低基础免疫空白。
Objective To investigate the causes of an outbreak of measles caused by nosocomial infection in order to provide a basis for the development of prevention and control measures. Methods Descriptive epidemiological methodological analysis. Results Among the 10 children treated in the pediatric same ward, 7 cases (70.00%) had measles cases and the other 2 cases were out-site cross-infection. A total of 9 measles cases were reported. The outbreak was from March 14 to March 21, nearly 10 days. The main reason for the outbreak is the lack of early diagnosis and isolation of measles patients. After the outbreak, by strengthening the pre-screening clinics, rigorous screening, to carry out the initiative to monitor the hospital’s strict isolation and disinfection of measles and other comprehensive measures, the epidemic is under control. Conclusion To strengthen the management of nosocomial infections plays an important role in controlling the epidemic of infectious diseases. Do daily disinfection and protection, found that source of infection isolation and treatment as soon as possible to avoid the outbreak. At the same time, we should further study and adjust the measles immunization strategy for babies younger than 6 months, especially those under 6 months of age. Strengthen vaccination efforts to reduce the basic immune blank.