[医疗机构疥疮传播与复发的原因；44起疫情的文献分析]
[Causes of spread and return of scabies in health care institutes; literature analysis of 44 epidemics].
作者信息
van Vliet J A, Samsom M, van Steenbergen J E
机构信息
Centrum Maliebaan, Afd. Centraal Medische Dienst, Utrecht.
出版信息
Ned Tijdschr Geneeskd. 1998 Feb 14;142(7):354-7.
OBJECTIVE
To determine the risk factors that contribute to the transmission and return of scabies in health care institutions.
DESIGN
Literature analysis.
SETTING
Public Health Care Service Midden-Kennemerland. Heemskerk, the Netherlands.
METHODS
Search of Medline over the years 1976-1996 yielded 34 reports of 44 outbreaks. The contents were qualitatively examined on factors possibly contributing to the transmission and return of scabies in health care institutions.
RESULTS
Six such factors that contribute to the transmission and return of scabies in health care institutions were found: (a) among residents in health care institutions a considerable number are, once infested, at risk of developing crusted scabies, (b) many people are exposed through close contact, (c) the generally long diagnostic delay, (d) insufficient survey of the epidemiological problem, (e) treatment failures and (f) incomplete post-intervention monitoring.
目的
确定导致疥疮在医疗机构传播和复发的危险因素。
设计
文献分析。
地点
荷兰海姆斯凯尔克的米登 - 肯内默兰公共卫生保健服务机构。
方法
检索1976年至1996年期间的医学期刊数据库（Medline），得到44起疫情的34份报告。对可能导致疥疮在医疗机构传播和复发的因素进行定性研究。
结果
发现导致疥疮在医疗机构传播和复发的六个因素：（a）在医疗机构的住院患者中，相当一部分人一旦感染，有发展为结痂性疥疮的风险；（b）许多人通过密切接触而暴露；（c）通常诊断延迟较长；（d）对流行病学问题的调查不足；（e）治疗失败；（f）干预后监测不完整。
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