某军事训练中心男性军人水痘-带状疱疹暴发疫情调查。

An Outbreak Investigation of Varicella Zoster among Male Military Personnel in a Military Training Centre.

机构信息

Department of Internal Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.

Department of Community Medicine, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 May 5;60(249):469-472. doi: 10.31729/jnma.7440.

DOI:10.31729/jnma.7440

PMID:35633236

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9252222/

Abstract

INTRODUCTION

Chickenpox is an acute, highly infectious disease. Outbreaks can occur in adults in closed institutional settings like hostels and barracks. This study aims to report varicella zoster outbreak among male military personnel in a military training centre.

METHODS

An outbreak investigation of chickenpox in a military training school and tertiary hospital was conducted. Ethical approval was taken from the Institutional Review Committee (Reference number: 267). Data was collected from February 5, 2020 to April 10, 2020 by questionnaire and clinical examination. Case definitions were prepared as per the Centre for Disease Control and Prevention criteria. Data was entered and analysed in Microsoft Excel 2010.

RESULTS

Out of the 167 male personnel in the training centre, 90 (53.89%) were susceptible to varicella and 84 (50.29%) were close contacts. The secondary attack rate of varicella zoster was 21.43% (18 cases). The mean age of the patients was 22.33±1.72 years. The mean days of admission were 5±2.28 days. The most common clinical features were generalised rash in 18 (100%), fever in 15 (83.33%), and body ache in 12 (66.67%) cases.

CONCLUSIONS

Natural history, clinical, and epidemiological features of varicella zoster in a closed institutional setting was studied with the secondary attack rate being less as compared to other studies.

KEYWORDS

chickenpox; military; outbreak.

摘要

简介

水痘是一种急性、高度传染性疾病。在宿舍和军营等封闭的机构环境中，成年人可能会爆发水痘。本研究旨在报告军事训练中心男性军人中的带状疱疹疫情。

方法

对一所军事训练学校和一所教学医院的水痘暴发疫情进行了暴发调查。机构审查委员会（参考编号：267）已批准该研究。通过问卷调查和临床检查，于 2020 年 2 月 5 日至 2020 年 4 月 10 日期间收集数据。根据疾病控制与预防中心的标准制定了病例定义。使用 Microsoft Excel 2010 输入和分析数据。

结果

在训练中心的 167 名男性人员中，有 90 名（53.89%）易感染水痘，84 名（50.29%）为密切接触者。水痘带状疱疹的二次攻击率为 21.43%（18 例）。患者的平均年龄为 22.33±1.72 岁。平均住院天数为 5±2.28 天。最常见的临床特征是 18 例（100%）全身皮疹、15 例（83.33%）发热和 12 例（66.67%）全身疼痛。