Gouyon J B, Pothier P
Service de Pédiatrie. Centre Hospitalier Universitaire, 2 bld de Lattre de Tassigny, F-21034 Dijon cedex, France.
Laboratoire de Virologie, CHU, Dijon, France.
Med Mal Infect. 1991 Oct;21:585-588. doi: 10.1016/S0399-077X(05)81180-1. Epub 2005 Jun 2.
A retrospective survey was performed among 24 neonatal care units. In the years 1989-1990, outbreaks of rotavirus infections were observed in 58 % and recurred in 46 % of neonatal care units. Six units presented with 3 or more outbreaks. Rapid diagnosis methods always were available and were usually agglutination latex test or ELISA test. Measures were suggested to limit the spread of the outbreaks : wearing of a gown ascribed to each infant (20/0) ; isolation of infected neonates (16/3) ; cohorting infected neonates (11/7) ; systematic stool examination for rotavirus identification in all neonates (9/10) ; use of gloves for handling contaminated stools (6/13). Stopping admissions and systematic stools examination in staff members were never applied.
对24个新生儿护理单位进行了一项回顾性调查。在1989 - 1990年期间,58%的新生儿护理单位观察到轮状病毒感染暴发,46%的单位再次出现感染。有6个单位出现了3次或更多次暴发。快速诊断方法始终可用,通常是乳胶凝集试验或酶联免疫吸附测定试验。建议采取措施限制疫情传播:为每个婴儿穿上专用隔离衣(20/0);隔离感染新生儿(16/3);将感染新生儿集中护理(11/7);对所有新生儿进行系统粪便检查以鉴定轮状病毒(9/10);处理受污染粪便时戴手套(6/13)。从未采取停止收治病人以及对工作人员进行系统粪便检查的措施。