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1960 - 1976年国家动物疾病中心的实验室获得性感染

Laboratory-acquired infections at the National Animal Disease Center 1960--1976.

作者信息

Sullivan J F, Songer J R, Estrem I E

出版信息

Health Lab Sci. 1978 Jan;15(1):58-64.

PMID:565343
Abstract

Experience with exposure to, or infection with pathogenic agents at the National Animal Disease Center is summarized. A total of 60 laboratory-associated exposures to infectious disease agents were reported. Forty-nine exposures resulted from known accidents, but the other 11 were identified only after the development of clinical or serological manifestations of infection. Eighteen cases of laboratory-acquired infections were reviewed. Brucellosis, the most frequently reported laboratory-acquired infection, accounted for one-half of the cases summarized. Three cases of leptospirosis, two cases of Newcastle disease, two cases of ringworm, and a single infection with Mycobacterium bovis and with Salmonella arizonae were also encountered. The most frequently reported causes of exposure were: auto-inoculation or spray exposure associated with the use of the hypodermic syringe, cuts or lacerations, direct contact with infected animals, and mouth pipetting. Although the infecting event could not be identified in 11 infections, presumptive evidence suggests aerogenic transmission as a probable route of exposure in a number of such cases.

摘要

本文总结了在美国国家动物疾病中心接触病原体或感染病原体的经历。共报告了60起与实验室相关的传染病病原体接触事件。其中49起接触是由已知事故导致的,但另外11起是在出现感染的临床或血清学表现后才被发现的。对18例实验室获得性感染病例进行了回顾。布鲁氏菌病是报告最多的实验室获得性感染,占总结病例的一半。还遇到了3例钩端螺旋体病、2例新城疫、2例癣,以及1例牛分枝杆菌感染和1例亚利桑那沙门氏菌感染。报告最多的接触原因是:与使用皮下注射器相关的自体接种或喷雾暴露、切割伤或撕裂伤、直接接触感染动物以及口吸移液。尽管在11例感染中无法确定感染事件,但推测性证据表明,在许多此类病例中,空气传播可能是一种暴露途径。

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