一起高疫苗接种率社区中发生的成人麻疹医院感染暴发。
An outbreak of adult measles by nosocomial transmission in a high vaccination coverage community.
机构信息
Xiaoshan Center for Disease Control and Prevention, Hangzhou, Zhejiang 311201, China.
Xiaoshan Center for Disease Control and Prevention, Hangzhou, Zhejiang 311201, China.
出版信息
Int J Infect Dis. 2014 Sep;26:67-70. doi: 10.1016/j.ijid.2014.05.006. Epub 2014 Jul 4.
OBJECTIVES
The aims of this study were to determine the mechanism of an outbreak of measles in adults and to provide scientific measures for putting forward a measles elimination program.
METHODS
We performed a cross-sectional investigation during the measles outbreak to identify a possible communication link.
RESULTS
From November 1, 2011 to January 26, 2012, the town reported 11 cases of measles in total. The case study identified an obvious propagation chain, which showed ordered and intimate exposure between cases.
CONCLUSIONS
Hospital exposure 1-2 weeks before infection with measles was the main cause of the measles outbreak. We must be fully aware of the possibility of nosocomial infection in an outbreak of measles; controlling nosocomial infections is a vital step in the prevention and control of the propagation of measles.
目的
本研究旨在确定成人麻疹暴发的机制，并为提出麻疹消除计划提供科学措施。
方法
我们在麻疹暴发期间进行了横断面调查，以确定可能的传播联系。
结果
2011 年 11 月 1 日至 2012 年 1 月 26 日，该镇共报告了 11 例麻疹病例。病例研究确定了一个明显的传播链，显示病例之间存在有序和密切的接触。
结论
麻疹感染前 1-2 周的医院暴露是麻疹暴发的主要原因。我们必须充分认识到麻疹暴发中医院感染的可能性；控制医院感染是预防和控制麻疹传播的重要步骤。
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