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一家医院范围内麻疹爆发的时间线:从1989年3月下旬非凡的一周中汲取并分享的经验教训。

Chronology of a hospital-wide measles outbreak: lessons learned and shared from an extraordinary week in late March 1989.

作者信息

Rank E L, Brettman L, Katz-Pollack H, DeHertogh D, Neville D

机构信息

Department of Pathology, Mount Sinai Hospital, Hartford, CT 06112.

出版信息

Am J Infect Control. 1992 Dec;20(6):315-8. doi: 10.1016/s0196-6553(05)80236-6.

Abstract

In March 1989, Mount Sinai Hospital, a community hospital in Hartford, Connecticut, faced a potential hospital-wide outbreak of measles when eight cases of measles occurred among medical personnel during several days. This article describes the chronology of events, from the initial discovery of the outbreak to the evolution of the hospital-wide containment program designed to protect patients and staff members. Measles IgG immune status was determined for 1249 employees during a 9-day period. Measles vaccine and immune serum globulin were administered to patients and employees. We offer advice from our experience for infection control practitioners who may face outbreak situations in their institutions.

摘要

1989年3月,位于康涅狄格州哈特福德的一家社区医院——西奈山医院,面临着全院范围内可能爆发麻疹的情况,因为在几天内医护人员中出现了8例麻疹病例。本文描述了从疫情最初发现到为保护患者和工作人员而制定的全院防控计划的演变过程。在9天时间内对1249名员工进行了麻疹IgG免疫状态检测。为患者和员工接种了麻疹疫苗并注射了免疫血清球蛋白。我们根据自身经验为可能在其机构中面临疫情爆发情况的感染控制从业人员提供建议。

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