Tagarro García A, Jiménez Bueno S, Herreros Fernández M L, Santiago García B, González Gil I, Baquero-Artigao F, Piñeiro Pérez R, Agúndez Reigosa B, Cilleruelo Ortega M J, Pérez Cid L, Sanz J C, Martín Rodrigo D, Mosquera M M, Cañete Díaz A
Servicio de Pediatría, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain.
An Pediatr (Barc). 2012 Jun;76(6):350-4. doi: 10.1016/j.anpedi.2011.11.017. Epub 2012 Jan 20.
After being virtually eradicated in Europe, thousands of cases of measles in the population of Spanish origin have appeared in the last 3 years. We describe the cases diagnosed in the north of Madrid between January and June 2011. A total of 22 cases are reported, 18 of them grouped in 2 outbreaks (2 nurseries). The primary attack rate was 29% in the main outbreak. All cases were in unvaccinated patients (median = 14 months). Genotype D4 was predominant (95%). There was a 45% complication rate and 45% were admitted to hospitals. The Public Health Service recommended isolating cases and vaccinating susceptible contacts in advance. Health Centres established a specific protocol to respond to suspected cases. The Measles vaccination has been brought forward from 15 to 12 months in Madrid. Measles is a re-emerging disease in Europe. The coordinated management between public health and health facilities is essential to limiting outbreaks.
在欧洲几乎被消灭之后，过去三年里，西班牙裔人群中出现了数千例麻疹病例。我们描述了2011年1月至6月在马德里北部诊断出的病例。共报告了22例病例，其中18例集中在2起疫情中（2所托儿所）。主要疫情中的原发感染率为29%。所有病例均为未接种疫苗的患者（中位数 = 14个月）。D4基因型占主导（95%）。并发症发生率为45%，45%的患者住院治疗。公共卫生服务部门建议隔离病例并提前为易感接触者接种疫苗。卫生中心制定了应对疑似病例的具体方案。马德里已将麻疹疫苗接种时间从15个月提前至12个月。麻疹在欧洲是一种再度出现的疾病。公共卫生与卫生机构之间的协调管理对于控制疫情至关重要。
