Chan P K, Li C Y, Tam J S, Cheng A F
Department of Microbiology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, China.
J Hosp Infect. 1999 Jul;42(3):239-42. doi: 10.1053/jhin.1999.0568.
Rubella infection in early pregnancy is associated with severe consequences in the developing fetus. In Hong Kong, 8-11% of women of child-bearing age are still susceptible to rubella infection. Therefore, rubella immune status of healthcare workers who may have contact with pregnant women is of particular concern. Rubella immunity of healthcare workers in a Department of Obstetrics and Gynaecology was analysed. In the one and a half years of study, 134 healthcare workers voluntarily submitted blood samples for immunity determination and 16.4% of them were susceptible to rubella infection. A substantial proportion of healthcare workers of childbearing age (14%) was negative for rubella antibody. Susceptible healthcare workers have a risk of acquiring and subsequently transmitting the potentially teratogenic rubella infection to their patients. There is a need to review the rubella immunization policy for healthcare workers in Hong Kong.
妊娠早期感染风疹会给发育中的胎儿带来严重后果。在香港，8%至11%的育龄妇女仍易感染风疹。因此，可能接触孕妇的医护人员的风疹免疫状况尤其令人关注。对某妇产科部门医护人员的风疹免疫情况进行了分析。在为期一年半的研究中，134名医护人员自愿提交血样进行免疫测定，其中16.4%的人易感染风疹。相当一部分育龄医护人员（14%）风疹抗体呈阴性。易感染风疹的医护人员有感染风疹并随后将具有潜在致畸性的风疹传染给患者的风险。有必要对香港医护人员的风疹免疫政策进行审查。
