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目的分析一起麻疹医院感染暴发原因,为制定院内感染防控措施提供依据。方法对2014年5月发生在仙游县某医院儿科门诊暴发麻疹疫情的资料进行分析。结果暴发的7例IgM抗体均阳性。续发6例均与首发病例存在流行病学关联,发病时间不超过麻疹的潜伏期(约2周)。首例患儿就诊时就已出现麻疹相应症状,因未被及时确诊而未采取隔离治疗,是造成麻疹医院感染暴发的原因之一。结论应建立预检分诊机制,规范儿科门诊输液室和诊室设置和管理,加强医务人员培训,提高疑似病例监测敏感性,以有效防控医院感染暴发。
Objective To analyze the causes of an outbreak of measles nosocomial infection and provide the basis for the prevention and control measures of nosocomial infection. Methods The data of outbreaks of measles in pediatric outpatients in a hospital in Xianyou County in May 2014 were analyzed. Results of the seven outbreaks of IgM antibodies were positive. All 6 cases had the epidemiological correlation with the first case, the onset time did not exceed the incubation period of measles (about 2 weeks). The first case of measles patients have been treated when the corresponding symptoms have not been promptly diagnosed but did not take isolated treatment is one of the causes of measles and nosocomial infections outbreak. Conclusion Pre-screening triage mechanism should be established to regulate the setting-up and management of infusion rooms and clinics in pediatric outpatient clinics, to strengthen the training of medical staff and to improve the sensitivity of suspected cases surveillance in order to effectively prevent and control outbreaks of nosocomial infections.