頁籤選單縮合
題名 | 2014-2018年某醫院精神科院區結核病聚集事件調查=A Tuberculosis Outbreak in a Psychiatric Institution at Northern Taiwan, 2014-2018 |
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作者姓名(中文) | 孫林伯伊; 江筱璇; 李秀萍; 周郁茹; 陳紫君; 張芳梓; 吳智文; 巫坤彬; | 書刊名 | 疫情報導 |
卷期 | 37:5 2021.03.09[民110.03.09] |
頁次 | 頁61-67 |
分類號 | 412.42 |
關鍵詞 | 結核病聚集事件; 精神疾病; 感染管制; 潛伏結核感染治療; Tuberculosis outbreak; Long-term psychiatric institution; Infection control; LTBI treatment; |
語文 | 中文(Chinese) |
中文摘要 | 2013年5月至2014年4月間,北部某醫院精神科院區2名住民確診結核病,初步調查未有相關,追蹤至當年9月時另有3名接觸者確診,前述個案4名同菌株,1名無菌株,研判確定聚集事件。截至2017年10月共計確診12名,9名同菌株,3名無菌株,回溯勾稽該機構26名曾被通報者均與本案無關。二次專家會議決議改善環境通風、落實症狀監測及異常追蹤,並考量跨病房擴散風險高,後續擴大匡列全院區接觸者493名進行潛伏結核感染評估,檢驗完成率97.6%,檢驗陽性率17.5%,加入治療率73.8%,4次X光完成率分別為73%、80%、65%及50%,追蹤至2019年7月未再新增關聯個案。本事件醫院端提高層級處理結核病問題,並與公衛端維持夥伴關係相互合作,有系統地監測及管理,順利將疫情控制。 |
英文摘要 | During May 2013 to April 2014, two cases of tuberculosis (TB) were notified in a long-term psychiatric institution in northern Taiwan. By September, three additional cases were confirmed. The outbreak had been confirmed since four cases were infected with the same genotype but one had no culture results. As of October 2017, 12 cases were confirmed (nine with the same genotype, and three had no culture results). Recommendations from expert meetings were implemented, including symptom surveillance and reporting, improving transfer records, improving the environment ventilation, and strengthening contact tracing every six months. A total of 493 contacts were monitored, and the completion rates of four times of contact tracing were 73%, 80%, 65% and 50%, respectively. Overall, of 97.6% contacts who tested for latent tuberculosis infection (LTBI), 17.5% were positive. The proportion of acceptance for treatment was 73.8%. By July 2019, no TB cases of the same genotype had been identified in the institution. Long-term psychiatric institutions must pay attention to the quality of infection control, maintain adequate human resources, systematic monitoring and management, and cooperate with public health authorities in order to lower risks of TB clusters. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。