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[墨西哥城一家新生儿重症监护病房呼吸道合胞病毒爆发]

[Outbreak of respiratory syncytial virus at a neonatal intensive care unit in Mexico City].

作者信息

Murguía-de Sierra T, Casasola-Flores J, Rosales-Urbán S, Nava-Ibarra V, Navarrete-Navarro S

机构信息

Departamento de Neonatología, Hospital Infantil de México Federico Gómez, México, D. F.

出版信息

Bol Med Hosp Infant Mex. 1993 Oct;50(10):709-16.

PMID:8216868
Abstract

RSV can be spread in hospital wards, being thus responsible for increased morbidity and mortality among infected patients. We describe an RSV outbreak in a Neonatal Intensive Care Unit (NICU). METHODS. As soon as the first RSV cases were detected in the NICU, every patient, as well as the personnel taking care of them, were tested; nasal washes for viral isolation, and nasopharyngeal swabs for viral antigen detection by immunofluorescence, were collected. RESULTS. Twelve patients were hospitalized. RSV was detected in eight, coinfection was observed in three of them. RSV was also detected in three adults. We describe the clinical findings among the RSV infected patients, and the infection control measures that we followed to stop the RSV spread. CONCLUSIONS. Viruses can be responsible for nosocomial infections, being thus mandatory to establish the diagnosis, treatment and infection control measures. In our NICU, the RSV infected patients had mild to moderate disease, there were no deaths attributable to RSV infection. We discuss infection control measures.

摘要

呼吸道合胞病毒(RSV)可在医院病房传播,从而导致感染患者的发病率和死亡率上升。我们描述了新生儿重症监护病房(NICU)中发生的一次RSV暴发。方法。在NICU首次检测到RSV病例后,对每例患者及其护理人员进行检测;采集鼻洗液用于病毒分离,采集鼻咽拭子用于通过免疫荧光检测病毒抗原。结果。12例患者住院。8例检测出RSV,其中3例观察到合并感染。3名成人也检测出RSV。我们描述了RSV感染患者的临床发现,以及为阻止RSV传播而采取的感染控制措施。结论。病毒可导致医院感染,因此必须确立诊断、治疗和感染控制措施。在我们的NICU中,RSV感染患者的病情为轻度至中度,没有因RSV感染导致的死亡病例。我们讨论了感染控制措施。

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