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医护人员中的埃博拉病毒病-几内亚,2014 年。

Ebola Virus Disease in Health Care Workers--Guinea, 2014.

出版信息

MMWR Morb Mortal Wkly Rep. 2015 Oct 2;64(38):1083-7. doi: 10.15585/mmwr.mm6438a6.

Abstract

An outbreak of Ebola virus disease (Ebola) began in Guinea in December 2013 and has continued through September 2015. Health care workers (HCWs) in West Africa are at high risk for Ebola infection owing to lack of appropriate triage procedures, insufficient equipment, and inadequate infection control practices. To characterize recent epidemiology of Ebola infections among HCWs in Guinea, national Viral Hemorrhagic Fever (VHF) surveillance data were analyzed for HCW cases reported during January 1–December 31, 2014. During 2014, a total of 162 (7.9%) of 2,210 laboratory-confirmed or probable Ebola cases among Guinean adults aged ≥15 years occurred among HCWs, resulting in an incidence of Ebola infection among HCWs 42.2 times higher than among non-HCWs. The disproportionate burden of Ebola infection among HCWs taxes an already stressed health infrastructure, underscoring the need for increased understanding of transmission among HCWs and improved infection prevention and control measures to prevent Ebola infection among HCWs.

摘要

2013 年 12 月,埃博拉病毒病(Ebola)在几内亚爆发,并持续至 2015 年 9 月。由于缺乏适当的分诊程序、设备不足以及感染控制措施不完善,西非的卫生保健工作者(HCWs)面临着埃博拉感染的高风险。为了描述几内亚卫生保健工作者中最近的埃博拉感染流行病学,对 2014 年 1 月 1 日至 12 月 31 日报告的卫生保健工作者病例的国家病毒性出血热(VHF)监测数据进行了分析。2014 年,在几内亚年龄≥15 岁的成年人中,实验室确诊或可能的 2210 例埃博拉病例中,共有 162 例(7.9%)发生在卫生保健工作者中,导致卫生保健工作者的埃博拉感染发生率是非卫生保健工作者的 42.2 倍。卫生保健工作者中埃博拉感染的不成比例负担加重了已经紧张的卫生基础设施,这突显了需要加强对卫生保健工作者之间传播的了解,并采取改进的感染预防和控制措施,以防止卫生保健工作者感染埃博拉。

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