Gladstone J L, Millian S J
Obstet Gynecol. 1981 Feb;57(2):182-6.
Despite a massive national rubella immunization program, rubella infection remains a public health problem. When a nurse employed in a hospital-based obstetric clinic became ill with rubella, a crisis was precipitated. The hospital staff implemented a plan to inform the exposed 151 patients and 44 employees of the potential danger to themselves and their fetuses. To identify persons at risk, a program of rubella antibody testing of contacts was instituted. In 3 distinct attempts to obtain blood specimens, patient compliance rates fell progressively from 79 to 14%. One additional infected employee was detected. A list of recommendations designed to prevent or lessen the impact of future rubella exposures in hospitals is presented.
尽管国家开展了大规模的风疹免疫计划，但风疹感染仍然是一个公共卫生问题。当一名在医院产科诊所工作的护士感染风疹后，引发了一场危机。医院工作人员实施了一项计划，告知151名受感染患者和44名员工他们自身以及胎儿面临的潜在危险。为了确定高危人群，启动了一项对接触者进行风疹抗体检测的计划。在三次不同的获取血样尝试中，患者的依从率从79%逐渐降至14%。另外还检测出一名受感染员工。本文列出了一系列旨在预防或减轻未来医院风疹感染影响的建议。
