Department of Respiratory and Critical Care Medicine, Hanchuan People's Hospital of Hubei Province, Hanchuan, Hubei, China.
Department of Respiratory and Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
J Infect Dev Ctries. 2023 Apr 30;17(4):571-577. doi: 10.3855/jidc.17241.
Psittacosis is a well-recognized zoonotic infectious disorder caused by Chlamydia psittaci (C. psittaci). Human-to-human transmission of C. psittaci has rarely been reported previously, especially in the case of healthcare-associated infections.
A 32-year-old man was admitted to the intensive care unit with severe pneumonia. An intensive care unit healthcare worker contracted pneumonia 7 days after performing endotracheal intubation on the patient. The first patient, a duck feeder, had been closely exposed to ducks, while the second patient had not been exposed to any birds, mammals or poultry. C. psittaci sequences were obtained by metagenomic next-generation sequencing analyses of bronchial alveolar lavage fluid of both the patients, and they were diagnosed with psittacosis. Therefore, healthcare-associated human-to-human transmission between both cases took place.
Our findings have implications for managing patients with suspected psittacosis. stringent protective measures are needed to prevent healthcare-associated human-to-human transmission of C. psittaci.
鹦鹉热是由鹦鹉热衣原体（C. psittaci）引起的一种公认的人畜共患传染病。此前，人与人之间传播鹦鹉热衣原体的情况很少见，特别是在与医疗保健相关的感染中。
一名 32 岁男子因严重肺炎被收入重症监护病房。一名重症监护病房的医护人员在为患者进行气管插管 7 天后患上肺炎。第一例患者是一名养鸭人，与鸭子密切接触，而第二例患者没有接触过任何鸟类、哺乳动物或家禽。通过对两名患者的支气管肺泡灌洗液进行宏基因组二代测序分析，获得了鹦鹉热衣原体序列，他们被诊断患有鹦鹉热。因此，这两例病例之间发生了与医疗保健相关的人与人之间的传播。
我们的研究结果对管理疑似鹦鹉热患者具有重要意义。需要采取严格的保护措施，以防止鹦鹉热衣原体在医疗保健相关的人与人之间传播。
