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B19微小病毒感染的卫生与消毒措施。

Hygiene and disinfection measures for parvovirus B19 infections.

作者信息

Eggers Maren, Hübner Nils-Olaf, Helber-Soszynski Ulrike, Blümel Johannes, Exner Martin, Gebel Jürgen, Ilschner Carola, Rabenau Holger F, Schwebke Ingeborg, Enders Martin

机构信息

Association for Applied Hygiene (VAH), Bonn, Germany.

Virus Disinfection Commission of the German Association for the Control of Virus Diseases (DVV), Kiel, Germany.

出版信息

GMS Hyg Infect Control. 2025 Mar 5;20:Doc05. doi: 10.3205/dgkh000534. eCollection 2025.

Abstract

BACKGROUND

In 2024, there has been a notable surge in the incidence of infections with parvovirus B19 (B19V). This development presents significant challenges, particularly for pregnant women, daycare centers, and medical facilities with vulnerable patients.

PROPERTIES OF B19V: B19V is transmitted primarily by droplet infection, directly and indirectly through contaminated surfaces. It is highly contagious and can have serious health consequences for at-risk groups, especially for pregnant women and immunocompromised individuals. There is not yet much data available on the specific tenacity/replication capacity of B19V, which is why empirical values from animal parvoviruses regarding sensitivity to disinfectants are used.

RECOMMENDATIONS FOR HYGIENE MEASURES

In order to prevent the further spread of B19V, an advisory has been prepared by experts from the Association for Applied Hygiene (VAH), in collaboration with the "Virus Disinfection" commission of the German Association for the Control of Virus Diseases (DVV) and the Society for Virology (GfV). This advisory is based on a risk assessment and the specific properties of B19V, and it outlines the necessary hygiene measures, including the selection of suitable disinfectants, to be taken in various areas in order to prevent the virus from spreading further. In the domestic setting, fundamental hygiene practices include thorough handwashing, refraining from touching the eyes, mouth, and nose, the use of a medical mask in the absence of physical distancing, and the frequent ventilation of rooms. In a medical setting, for example, the disinfection of surfaces in close proximity to the patient with an active virucidal agent and the use of gloves are also recommended when dealing with infected or potentially infected individuals.

摘要

背景

2024年,B19微小病毒(B19V)感染的发病率显著激增。这一情况带来了重大挑战,尤其是对孕妇、日托中心以及有脆弱患者的医疗机构而言。

B19V的特性:B19V主要通过飞沫感染传播,可直接或间接通过受污染表面传播。它具有高度传染性,对高危人群,尤其是孕妇和免疫功能低下者,可能会造成严重的健康后果。目前关于B19V的具体持久性/复制能力的数据还不多,因此使用了动物细小病毒对消毒剂敏感性的经验值。

卫生措施建议

为防止B19V进一步传播,应用卫生协会(VAH)的专家与德国病毒病控制协会(DVV)的“病毒消毒”委员会以及病毒学协会(GfV)合作编写了一份指南。该指南基于风险评估和B19V的具体特性,概述了为防止病毒进一步传播在各个区域应采取的必要卫生措施,包括选择合适的消毒剂。在家庭环境中,基本的卫生习惯包括彻底洗手、避免触摸眼睛、嘴巴和鼻子、在无法保持身体距离时佩戴医用口罩以及经常通风。例如,在医疗环境中,对于与患者密切接触的表面,建议使用具有杀病毒活性的消毒剂进行消毒,并且在处理感染或可能感染的个体时也要佩戴手套。

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Clin Microbiol Rev. 2017 Jan;30(1):43-113. doi: 10.1128/CMR.00040-16.
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