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目的调查一起院内感染引起麻疹暴发的原因,为制定控制措施提供依据。方法用描述流行病学方法分析。结果住院康复治疗的脑瘫患儿282例中发病14例(5.0%),疫情11月26日至12月23日,持续近1个月,并出现第3代病例。疫情暴发的主要原因是麻疹病人未能早期诊断并隔离治疗;医院布局不够合理,内科与康复1科、康复训练室、儿童活动室为同层,楼道和电梯共用,病人间接触传播,导致后续病例不断增加。疫情发生后,经应急接种等综合措施,疫情得到控制,患儿均治愈出院。结论加强院内感染管理对控制传染病疫情有重要作用。综合医院的科室布局应综合考虑各种因素,合理布局。做好日常消毒防护,发现传染源尽早隔离治疗,同时采取综合防控措施,避免暴发疫情的发生。
Objective To investigate the causes of an outbreak of measles caused by nosocomial infection in order to provide evidence for the establishment of control measures. Methods were described using epidemiological methods. Results Among the 282 children with cerebral palsy who were hospitalized for rehabilitation, 14 cases (5.0%) were affected. The outbreak ranged from November 26 to December 23, and lasted for nearly 1 month. The third generation of cases occurred. Outbreaks of the epidemic were mainly due to the failure of early diagnosis and isolation of patients with measles. The layout of the hospital was not reasonable enough. The 1 medical and rehabilitation department, rehabilitation training room and children’s activity room shared the same floor with corridors and elevators. The number of cases is increasing. After the outbreak, after the emergency vaccination and other comprehensive measures, the outbreak was under control and the children were cured and discharged. Conclusion To strengthen the management of nosocomial infections plays an important role in controlling the epidemic of infectious diseases. Comprehensive hospital department layout should consider all kinds of factors, reasonable layout. Do routine disinfection and protection, found that source of infection isolation and treatment as soon as possible, while taking comprehensive prevention and control measures to prevent the outbreak of the outbreak.