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医护人员对麻疹、风疹、腮腺炎和水痘-带状疱疹病毒的易感性。

Susceptibility to measles, rubella, mumps, and varicella-zoster viruses among healthcare workers.

作者信息

Aypak Cenk, Bayram Yasemin, Eren Hayriye, Altunsoy Adalet, Berktaş Mustafa

机构信息

Department of Family Medicine, Gevas State Hospital, Van, Turkey.

出版信息

J Nippon Med Sch. 2012;79(6):453-8. doi: 10.1272/jnms.79.453.

Abstract

BACKGROUND

It is important to identify and immunize susceptible healthcare workers to prevent and control hospital infections. Our aim was to evaluate the specific antibodies against the measles, mumps, and rubella viruses and the varicella zoster virus among healthcare workers in a tertiary-care hospital.

PATIENTS AND METHODS

A total of 284 healthcare workers (89 men and 195 women; mean age, 33.5 ± 11 years), including 111 nurses, 87 physicians, 34 laboratory technicians, and 52 members of the housekeeping staff, of Van Training and Research Hospital were enrolled in this study. Antibodies were detected with an enzyme-linked immunosorbent assay.

RESULTS

The numbers of workers with serological susceptibility to mumps, measles, rubella, or chicken pox were 26 (9.2%), 18 (6.3%), 7 (2.5%), and 5 (1.8%), respectively. Although the difference was not statistical significant, the rate of seroprevalence of antibodies was lowest for measles (90.8%; p>0.05). Susceptibility to measles, mumps, and rubella, and chicken pox was more prevalent among young healthcare workers (p<0.001). Not all healthcare workers born before 1957 were immune to these vaccine-preventable diseases.

CONCLUSION

These data confirm that screening and vaccination of susceptible healthcare workers is essential regardless of age.

摘要

背景

识别并为易感染的医护人员接种疫苗对于预防和控制医院感染至关重要。我们的目的是评估一家三级医院的医护人员中针对麻疹、腮腺炎、风疹病毒以及水痘带状疱疹病毒的特异性抗体。

患者与方法

凡培训与研究医院的284名医护人员(89名男性和195名女性;平均年龄33.5±11岁)纳入本研究,其中包括111名护士、87名医生、34名实验室技术人员和52名家政人员。采用酶联免疫吸附测定法检测抗体。

结果

对腮腺炎、麻疹、风疹或水痘血清学易感性的工作人员数量分别为26名(9.2%)、18名(6.3%)、7名(2.5%)和5名(1.8%)。尽管差异无统计学意义,但麻疹抗体的血清阳性率最低(90.8%;p>0.05)。年轻医护人员中对麻疹、腮腺炎、风疹和水痘的易感性更为普遍(p<0.001)。并非所有1957年以前出生的医护人员对这些疫苗可预防疾病都具有免疫力。

结论

这些数据证实,无论年龄大小,对易感染的医护人员进行筛查和接种疫苗都是必不可少的。

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