一起医院麻疹暴发疫情的调查

来源 :预防医学情报杂志 | 被引量 : 0次 | 上传用户:lafang123456
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的通过对无锡市某医院内的一起麻疹暴发疫情调查分析,了解麻疹的流行特征,为科学防控麻疹提供依据。方法对2015年无锡市某医院的麻疹暴发疫情流行病学特征进行分析。结果麻疹确诊病例7例,男性3例,女性4例,男女性别比1∶1.33,病例均为医院门诊部医务人员;年龄集中在20~45岁;主要症状为发热和出疹,实验室检测荧光PCR法麻疹病毒核酸阳性5例,麻疹血清抗体阳性1例,两者均阳性为1例;麻疹接种史不详6例,占发病总数的85.71%,部分病例有发热病例接触史,医务人员口罩配戴率低,医院通风不良,麻疹应急接种1 246人,应急接种率达90%以上。结论医务人员麻疹免疫覆盖面不够、医院麻疹监测工作不到位、院内感染防控不到位是本起疫情暴发的主要原因,消除麻疹的有效措施应从规范设置发热门诊,提高麻疹监测敏感性,严格控制院内感染,提高医务工作人员麻疹免疫水平入手。 Objective To understand the epidemiological characteristics of measles through a survey and analysis of an outbreak of measles in a hospital in Wuxi City and provide a basis for scientific prevention and control of measles. Methods The epidemiological characteristics of measles outbreak in a hospital in Wuxi in 2015 were analyzed. Results Seven cases of measles were diagnosed, including 3 males and 4 females, with a male-female ratio of 1: 1.33. The cases were all medical staffs in the outpatient department of the hospital. The age ranged from 20 to 45 years old. The main symptoms were fever and rash, laboratory tests Fluorescent PCR method measles virus nucleic acid positive in 5 cases, measles serum antibody positive in 1 case, both were positive in 1 case; measles history of unknown 6 cases, accounting for 85.71% of the total number of cases, some cases of fever history of exposure, medical masks Wearing rate is low, hospital ventilation is poor, emergency vaccination of 1 246 people measles, emergency vaccination rate of more than 90%. Conclusion The coverage of measles in medical staff is not enough, the monitoring of measles in hospital is not in place, and the inadequate prevention and control of nosocomial infection are the main reasons for the outbreak of measles. Effective measures to eliminate measles should be from the setting of fever clinics to improve the sensitivity of measles surveillance and strictly control the hospital Infection, improve the level of immunity of medical staff to start measles.
其他文献
通过静注和口服不同途径给药,观察依地酸二钠钙对铅作业工人的驱铅作用,并对作用机理作了讨论。
目前以最敏感的方法检测乙型肝炎表面抗原(HBsAg),仍可漏检10%。选择酶联免疫吸附试验(ELISA)检测乙型肝炎病毒核心抗体(抗-HBc)来筛选献血员,其阳性检出率大大高于HBsAg阳
第十七届大连服装节,第十七届大连国际服装博览会暨中国服装出口洽谈会于9月10—13日在大连世界博览广场和星海会展中心同时举行。本届博览会设展览面积4万多平方米,展位1800
参与式村级扶贫规划作为一项重要技术手段,成为我国新世纪扶贫工作重点之一的整村推进工作的工作方式,在我国的扶贫系统产生了深远的影响,文章将详细介绍参与式扶贫规划系统
科学技术是推动战争形态演变的主导力量。某种科学技术群能否推动战争形态的演变,要看其能否引领新经济时代的变迁、促进新作战效能的变革、催生新军事思维的涌现等。现代生
针对某旋转关节--水铰链的指标要求,对方案进行了详细的论证比较,提出了关键技术及解决途径,应用范围及推广前景.
1病例资料患者,男,37岁,工人,因"高处坠落致腹部、双大腿贯通伤3h"抬送至我院急诊科,当时T37℃P106次/minR17次/minBP16.1/9.2kPa,身上有3条钢筋贯通,1条由左臀部贯通右下腹;1
在中国广大的农村地区,生活污水未经处理随意排放的现象十分普遍,而使用传统的好氧生物处理法存在基建费用高,运行能耗大成本较高等问题,为了解决这一问题,本实验提出采用一
交通系统公路客运量预测不仅具有模糊性和动态性等特点,而且受多个因素影响.许多交通研究人员只根据客运量一个因素,用GM(1,1)模型预测.文章运用GM(1,N)系统综合预测模型,考虑系
目的探讨不同表观扩散系数(ADC)对乳腺癌患者转移性腋窝淋巴结的诊断效能。方法纳入伴腋窝淋巴结肿大的41例乳腺癌患者,分析其MRI扩散加权成像(DWI)资料,共检出91枚淋巴结,其中转