Gelber Shari E, Ratner Adam J
Department of Obstetrics & Gynecology, MCP Hahnemann University School of Medicine, Philadelphia, PA, USA.
Semin Perinatol. 2002 Oct;26(5):346-56. doi: 10.1053/sper.2002.36268.
Hospital-acquired infections caused by viruses are a cause of considerable morbidity and occasional mortality in critically ill neonates. The intensive care environment allows for efficient spread of viral pathogens, and secondary cases among both patients and healthcare workers are frequently observed. We review the common viral causes of hospital-acquired infections in neonates, including rotavirus, respiratory syncytial virus, and others, discuss epidemiology and clinical syndromes, and summarize recommendations for control in outbreak situations. Chemoprophylaxis, isolation procedures, and care of affected staff are also addressed.
病毒引起的医院获得性感染是危重新生儿发病和偶有死亡的一个重要原因。重症监护环境有利于病毒病原体的有效传播,患者和医护人员中均经常出现二代病例。我们回顾了新生儿医院获得性感染的常见病毒病因,包括轮状病毒、呼吸道合胞病毒等,讨论了流行病学和临床综合征,并总结了暴发情况下的防控建议。还涉及化学预防、隔离程序以及受感染工作人员的护理。