頁籤選單縮合
| 題 名 | 2018年某產後護理機構嬰兒室腸病毒伊科11型群聚事件=An Outbreak of Echovirus 11 Infection in a Postpartum Nursing Care Center, 2018 |
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| 作 者 | 林靜麗; 李欣純; 林慧真; 洪敏南; 游秋月; | 書刊名 | 疫情報導 |
| 卷 期 | 37:7 2021.04.13[民110.04.13] |
| 頁 次 | 頁96-100 |
| 分類號 | 412.42 |
| 關鍵詞 | 產後護理之家; 腸病毒伊科11型; 新生兒腸病毒群聚; Postpartum nursing home; Echovirus 11; Outbreak of neonatal enteroviral infection; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 2018年5月16日衛生單位接獲醫院通報一名疑似腸病毒併發重症之新生兒,經疫調得知個案發病前曾入住某產後護理之家嬰兒室,且該機構嬰兒室於5月5日陸續有新生兒出現高燒症狀,衛生單位遂成立不明原因發燒群聚案,進行實地調查及防治輔導。請機構執行分區專人照護、落實照護人員手部衛生、執行接觸防護措施、加強重點環境清潔消毒、疫情期間只出不進等防治措施。5月5日至5月21日收住之15名新生兒中共有7名發病(侵襲率為47%),監測兩個潛伏期至5月31日無新增個案,7名個案後續皆康復出院,無重症確定病例。送驗之咽喉拭子、肛門拭子及腦脊髓液等檢體,經分子生物學檢驗皆檢出腸病毒伊科11型(Echovirus 11)。建議產後護理機構強化嬰兒室照護人員之新生兒腸病毒知能、建置完善疾病監測通報機制及落實相關感管措施等事宜。 |
| 英文摘要 | On 16 May, 2018, the health department was notified by a medical center of a neonatal enterovirus infection with severe complications, which was subsequently confirmed positive for echovirus 11. The case patient had been staying at the baby room in a postpartum nursing care center during April 27-May 5, before the onset of fever on May 5. Through contact investigation, fever surveillance and molecular diagnostic testing, we identified seven cases of echovirus 11 infections among 15 newborns at the same baby room during May 5-21 (attack rate: 47%). Active case finding, cohorting care, enhancing hand hygiene and contact precautious practices, environment disinfection, and suspending new admissions were implemented to control the outbreak. No further cases were identified during the 10-day period of observation since May 21. All cases recovered with good outcomes. This report revealed that reluctance of hand-hygiene practices and unawareness of manifestations of neonatal enteroviral infection among healthcare workers might have hindered the timely intervention for effective mitigation of the outbreak. |
本系統中英文摘要資訊取自各篇刊載內容。