Xia Qing, Nie Xin, Yang Yun, Nie Fuying, Liu Sidi
Hospital Infection Control Center, Xiangya Hospital, Central South University, Changsha 410008.
Disease Prevention and Control Section, 921 Hospital of Joint Logistics Support Force, Changsha 410000.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2023;48(9):1432-1436. doi: 10.11817/j.issn.1672-7347.2023.230089.
Children with low immunity and weak resistance are at high risk for influenza, and infection with the influenza virus can be life-threatening in severe cases. This article reported on the investigation and management of a clustered of influenza A cases in a pediatric ward. The clustered influenza A cases were caused by a community-infected influenza A chaperone who was the source of infection, and was most likely spread in close proximity through droplets or aerosols in the same hospital ward. This person caused the influenza A hospital-acquired infections in 2 children (aged 11 months and 12 months, respectively) in the hospital. After taking timely case management and ward management, the prognosis of the three infected patients was good and there was no outbreak of influenza-like illness in the pediatric ward. It is recommended that during the peak of the influenza season, air disinfection should be strengthened and windows should be opened for ventilation in medical institutions, while patients and accompanying staff should be strengthened to wear masks and other publicity, and influenza vaccination should be encouraged, so as to reduce cross-transmission and prevent outbreaks of hospital-acquired infections.
免疫力低下、抵抗力弱的儿童感染流感的风险很高,严重情况下感染流感病毒可能会危及生命。本文报道了某儿科病房一起甲型流感聚集性病例的调查与处理情况。该起甲型流感聚集性病例由一名社区感染的甲型流感陪护人员引起,该人员为传染源,很可能是在同一医院病房内通过飞沫或气溶胶在近距离传播。此人在医院导致2名儿童(分别为11个月和12个月大)发生甲型流感医院感染。经过及时的病例管理和病房管理,3名感染患者预后良好,儿科病房未出现流感样疾病暴发。建议在流感季节高峰期间,医疗机构应加强空气消毒、开窗通风,同时加强对患者及陪护人员佩戴口罩等宣传,并鼓励接种流感疫苗,以减少交叉传播,预防医院感染暴发。