頁籤選單縮合
題名 | 2014年花蓮縣某精神療養機構流感群聚事件=Influenza Outbreak in a Psychiatric Institution in Hualien, 2014 |
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作者姓名(中文) | 鄧雅文; 黃頌恩; 王任鑫; 葉元麗; 李美珠; 王任鑫; 李美珠; 葉元麗; 鄧雅文; 黃頌恩; | 書刊名 | 疫情報導 |
卷期 | 30:23 2014.12.09[民103.12.09] |
頁次 | 頁489-494 |
分類號 | 412.4 |
關鍵詞 | 上呼吸道感染群聚; 流感群聚; 監測與通報; Upper respiratory tract infection; Influenza outbreak; Disease surveillance and reporting; |
語文 | 中文(Chinese) |
中文摘要 | 花蓮縣某精神療養機構於2014年4月17日至8月28日期間共通報8起上呼吸道感染群聚事件,共計8個病房323名住民及8名工作人員出現咳嗽、發燒、鼻塞/流鼻水等症狀,平均侵襲率20.1%(331/1644);共採檢33件病毒咽喉拭子,檢出15件A型/swH1,18件流感陰性;6名通報流感併發症,其中4名需加護病房治療,2名死亡後死因研判與流感相關。該機構因住民免疫力較低及自我照顧能力不佳、活動空間擁擠等特性,加上各病房對呼吸道症狀監測與通報機制不熟悉,未能於疫情開始時及早執行各項防治措施,導致4月份首波疫情在短時間內從單一病房快速擴散至機構內半數以上病房。綜上,衛生主管機關應持續督導精神療養機構落實疫情監測與通報,並及早執行各項感染管制措施,才能避免群聚疫情的擴散。 |
英文摘要 | A psychiatric institution in Hualien reported 8 upper respiratory tract infection outbreaks during April 17 to August 28, 2014. There were 323 residents and 8 healthcare workers in 8 different wards with symptoms of cough, fever, stuffy nose and rhinorrhea. Average attack rate was 20.1% (331/1644). Of the 33 pharyngeal swabs tested, 15 were positive for influenza A/swH1and 18 were negative for influenza. Six patients were reported to have severe complicated influenza, among whom, four required care in the intensive unit, and two patients died. The patients at this institution have decreased immunity against diseases, poor self-care capabilities, and live in crowded conditions. The healthcare workers on wards were unfamiliar with respiratory symptom surveillance and reporting and did not report and implement disease control measures timely. Therefore, the outbreak in April spread quickly from one ward to multiple wards in the institution. Public health officials should continue to oversee the implementation of disease surveillance and reporting, implement outbreak control measures timely to prevent the spread of diseases. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。