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糖尿病与胶原病病房的疥疮暴发:管理与预防

A scabies outbreak in a diabetic and collagen disease ward: Management and prevention.

作者信息

Furuya Kenta, Nakajima Hitoshi, Sasaki Yousuke, Ishiko Akira, Urita Yoshihisa

机构信息

Department of General Medicine and Emergency Care, Toho University School of Medicine, Omori Hospital, Ota-ku, Tokyo 143-8541, Japan.

Department of Dermatology, Toho University School of Medicine, Omori Hospital, Ota-ku, Tokyo 143-8541, Japan.

出版信息

Exp Ther Med. 2016 Dec;12(6):3711-3715. doi: 10.3892/etm.2016.3845. Epub 2016 Oct 27.

Abstract

Scabies is an infection caused by . In developed countries, scabies remains an important public health problem in hospitals and care facilities among elderly or immunocompromised patients. There are a number of medical providers who have not experienced scabies and there has been confusion surrounding its management and prevention. Therefore, the aim of the present study was to identify the optimal approach for the management and prevention of scabies. A scabies outbreak occurred between June 2014 and October 2014 in the Toho University School of Medicine, Omori Hospital (Tokyo, Japan), and the current study investigates factors concerning the outbreak, such as disease recognition, diagnostic strategy, medical staff experience and correspondence after the outbreak occurred. Six patients were newly diagnosed with scabies including patients, medical staff and family of the medical staff. An infection control committee was implemented and required a follow-up survey of 181 people (144 patients and 37 medical staff). It took ~4 months to resolve the outbreak. Scabies is highly infectious, and sufficient knowledge is required to care for the patients and prevent the infection of healthy people. In this example, the spread of infection was controlled by prompt action.

摘要

疥疮是由……引起的一种感染。在发达国家,疥疮在医院以及老年或免疫功能低下患者的护理机构中仍然是一个重要的公共卫生问题。有许多医疗服务提供者未曾接触过疥疮,并且在其管理和预防方面存在困惑。因此,本研究的目的是确定管理和预防疥疮的最佳方法。2014年6月至2014年10月期间,日本东京大森医院东邦大学医学院发生了疥疮疫情,本研究调查了与该疫情相关的因素,如疾病识别、诊断策略、医务人员经验以及疫情发生后的应对措施。包括患者、医务人员及其家属在内,共有6名患者被新诊断为疥疮。实施了感染控制委员会,并对181人(144名患者和37名医务人员)进行了随访调查。疫情的解决耗时约4个月。疥疮具有高度传染性,护理患者并防止健康人感染需要足够的知识。在这个例子中,通过及时行动控制了感染的传播。

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本文引用的文献

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Atypical presentation of crusted (Norwegian) scabies.结痂性(挪威型)疥疮的非典型表现。
Infection. 2015 Oct;43(5):623-4. doi: 10.1007/s15010-015-0769-7. Epub 2015 Mar 29.
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Epidemiology of scabies.疥疮流行病学。
Curr Opin Infect Dis. 2013 Apr;26(2):123-6. doi: 10.1097/QCO.0b013e32835eb851.
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Scabies: a suitable case for a global control initiative.疥疮:全球防控倡议的一个合适案例。
Curr Opin Infect Dis. 2013 Apr;26(2):107-9. doi: 10.1097/QCO.0b013e32835e085b.
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Risk factors for scabies in Taiwan.台湾地区疥疮的风险因素。
J Microbiol Immunol Infect. 2012 Aug;45(4):276-80. doi: 10.1016/j.jmii.2011.12.003. Epub 2012 Mar 21.
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Scabies in healthcare settings.医疗机构中的疥疮。
Curr Opin Infect Dis. 2010 Apr;23(2):111-8. doi: 10.1097/QCO.0b013e328336821b.

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