Emerg Infect Dis. 2024 Nov;30(14):41-46. doi: 10.3201/eid3014.240056.
A scrub typhus outbreak occurred among 24 soldiers from 2 Australian Defence Force infantry units following separate training events conducted in the same coastal location in tropical North Queensland, Australia, in June 2022. Seven soldiers visited a hospital, 5 requiring admission. Outbreak recognition was hampered by the geographic dispersion of soldiers after the exercise and delayed case identification resulting from such factors as prolonged incubation, cross-reactive serologic responses to other pathogens, the nonspecific symptoms of scrub typhus, and the illness's nonnotifiable status in the state of Queensland. Our investigation focused on personal protective measures in a subanalysis of 41 soldiers, revealing an association between scrub typhus infection and the use of doxycycline chemoprophylaxis and permethrin uniform dipping.
2022 年 6 月，在澳大利亚热带北昆士兰州同一沿海地区举行的两次独立训练活动后，24 名来自澳大利亚国防军（Australian Defence Force）两个步兵部队的士兵中爆发了恙虫病。7 名士兵前往医院就诊，其中 5 人需要住院治疗。由于演习后士兵分布在不同的地点，再加上潜伏期较长、与其他病原体发生交叉反应的血清学反应、恙虫病的非特异性症状以及昆士兰州对该病的非法定报告状态等因素，导致疫情的识别受到阻碍。我们的调查集中在对 41 名士兵的亚分析中的个人防护措施，结果显示，恙虫病感染与使用强力霉素化学预防和Permethrin 浸渍制服有关。
