Johnston J M, Burke J P
Infect Control. 1986 Mar;7(3):172-6. doi: 10.1017/s019594170006402x.
In the fall of 1983 an outbreak of hand-foot-and-mouth disease occurred in a large urban hospital. The outbreak began among surgical nurses confined to one area of the operating suite and appeared to spread by direct contact to personnel working in the other areas. No cases were diagnosed among hospital patients. There was no evidence to support an ongoing community epidemic as only three of 98 physicians surveyed had seen hand-foot-and-mouth disease in their practices, and none occurred among family members of 94 unaffected employees. The outbreak resulted in 82 lost workdays at an estimated cost to the hospital of $5,676. Existing infection control guidelines do not address the issue of transmission of hand-foot-and-mouth disease from hospital personnel to patients; our experience suggests that the risk of transmission, at least in the operating suite environment, may be greater for other personnel than for patients.
1983年秋季，一家大型城市医院爆发了手足口病疫情。疫情始于手术室特定区域的外科护士群体，似乎通过直接接触传播到了其他区域工作的人员。医院患者中未诊断出病例。没有证据支持社区存在持续的疫情，因为在接受调查的98名医生中，只有3人在其诊疗过程中见过手足口病，而且在94名未受感染员工的家庭成员中也未出现病例。此次疫情导致82个工作日的损失，医院估计损失5676美元。现有的感染控制指南未涉及手足口病从医院工作人员传播给患者的问题；我们的经验表明，至少在手术室环境中，其他人员传播手足口病的风险可能高于患者。
