頁籤選單縮合
題 名 | 2015年北部某長照機構結核病聚集事件調查=Investigation of Tuberculosis Outbreak in a Long-Term Care Facility in Northern Taiwan, 2015 |
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作 者 | 王慕涵; 周郁茹; 陳紫君; 吳智文; 巫坤彬; | 書刊名 | 疫情報導 |
卷 期 | 35:1 2019.01.15[民108.01.15] |
頁 次 | 頁6-11 |
分類號 | 412.42 |
關鍵詞 | 結核病; 長照機構; 群聚事件; 潛伏結核感染治療; Tuberculosis; Long-term care facility; Outbreak; Latent tuberculosis infection treatment; |
語 文 | 中文(Chinese) |
中文摘要 | 北部地區某長照機構於2011年發生結核病確定群聚事件,相關接觸者未進行潛伏結核感染治療。事件後機構未能持續落實感染管制措施。2014至2015年1名外籍照服員及2名住民接觸者發病,再度發生確定群聚事件且研判感染源為2011年群聚事件之指標個案。凸顯未接受潛伏結核感染治療之住民發病,單一個案的延遲診斷與治療,可能導致群體的感染。經衛生單位提供住民與工作人員潛伏結核治療、強化機構感染管制措施及集中管理高發病風險之接觸者後,截至2018年6月,無接觸者再發病。長照機構中老人潛伏結核感染發病已是不容忽視的問題。唯有透過持續落實感染管制措施並提供接觸者潛伏結核感染治療,才能降低長照機構發生群聚事件之風險。 |
英文摘要 | In 2011, an outbreak of tuberculosis (TB) occurred in a long-term care facility in northern Taiwan. According to the policy at that time, the contacts did not receive latent tuberculosis infection (LTBI) treatment. In 2014–2015, two contacts and one new foreign care provider developed active TB, and became a new cluster. This indicated that delayed diagnosis and treatment in an untreated LTBI case could lead to clustered infections. We started LTBI treatment to the residents and staff, stopped receiving new residents, and centralized management of the contacts. No new cases was identified as of April 2017. This demonstrated that the LTBI case management in long-term care facilities caring for the elderly becomes a critical issue. Only by implementing treatment of LTBI and centralizing management of contacts could we lower the risks of TB outbreaks in long-term care facilities. |
本系統中英文摘要資訊取自各篇刊載內容。