Chow Josephine, Miguel Susana San
Cardiovascular Stream, Sydney South West Area Health Service.
J Ren Care. 2008 Dec;34(4):203-6. doi: 10.1111/j.1755-6686.2008.00036.x.
Large public health interventions to control infectious disease outbreaks are common, but rigorous evaluation to improve the quality and effectiveness of these is rarely undertaken. This project aimed to prevent blood borne virus (BBV) cross-transmission in dialysis units. Following an incident concerning the diagnosis of acute Hepatitis B in a haemodialysis patient, possibly from healthcare associated acquisition, a multifaceted and multidisciplinary investigation was conducted involving consumers, health professionals and administrations. The results of this investigation were then used to produce practical operational guidelines for planning and future interventions. To date, there has been no incidence reported of any cross-transmission of BBV amongst our dialysis population. The actions implemented can be utilised by other departments in preventing other bacterial or viral outbreaks.
为控制传染病暴发而进行的大型公共卫生干预措施很常见，但很少对这些措施进行严格评估以提高其质量和有效性。本项目旨在预防透析单位中的血源病毒（BBV）交叉传播。在一名血液透析患者被诊断为急性乙型肝炎（可能因医疗相关感染所致）的事件发生后，开展了一项多方面、多学科的调查，参与调查的包括消费者、卫生专业人员和行政部门。然后，利用该调查结果制定了用于规划和未来干预措施的实用操作指南。迄今为止，在我们的透析人群中尚未报告有任何BBV交叉传播的病例。其他部门可以借鉴所采取的行动来预防其他细菌或病毒暴发。
