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| 題 名 | 2017年首例新生兒聽損確診個案經主動監視確診先天性德國麻疹症候群病例事件報告=Case Report of Congenital Rubella Syndrome Identified by Active Surveillance System, Taichung, 2017 |
|---|---|
| 作 者 | 陳富君; 王功錦; 林杜凌; 賴佩芳; 柯靜芬; 劉碧隆; | 書刊名 | 疫情報導 |
| 卷 期 | 35:6 2019.03.26[民108.03.26] |
| 頁 次 | 頁71-75 |
| 分類號 | 412.42 |
| 關鍵詞 | 先天性德國麻疹症候群; 德國麻疹; 監視作業; 疫苗政策; Congenital Rubella Syndrome; Rubella; Surveillance; Vaccine policy; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 婦女於懷孕初期感染德國麻疹,病毒可透過胎盤垂直傳染胎兒,造成胎兒多個重要器官病變、缺損,即為先天性德國麻疹症候群(congenital rubella syndrome, CRS)。接種疫苗產生免疫力,是預防CRS最有效方法。我國至2009年,法定傳染病通報系統未再發現CRS確定病例。本文描述一8個月大女嬰罹患耳聾及先天性白內障,經由主動監視作業和疫情調查判定為CRS確定病例。為預防及儘早診斷CRS,建議對新移民人口加強疾病防治認知及衛教,對申請簽證前已懷孕之外籍配偶,進行德國麻疹IgM抗體篩檢。加強醫護人員對CRS的臨床症狀教育與通報警覺性,以期早期發現個案。對CRS個案建立追蹤管理機制並轉介相關醫療資源,把握治療黃金期限制殘障,減少家庭壓力,降低醫療財政負擔,促進國人健康與福利。 |
| 英文摘要 | Pregnant women infected with rubella at early trimester may transmit viruses to the fetus through placenta and lead to multiple organ defects, causing congenital rubella syndrome (CRS). Immunization is the most effective way to prevent CRS. In Taiwan, no CRS cases were detected after 2009. This article describes a case of CRS, an 8-month-old female who suffered from deafness and congenital cataracts, discovered by the active surveillance system and confirmed by the epidemiological investigation. To prevent and diagnose CRS as early as possible, we recommend strengthening the awareness of disease prevention and education for new immigrants, testing rubella IgM for pregnant women at times when applying for visa. For early detection of CRS cases, training in differential diagnosis and alertness of CRS reporting among health care workers should also be strengthened. We also recommend establishing a registry and management program for CRS cases and medical resources referring channel, proactive care and treatment to prevent disability outcomes, alleviate familial stresses, reduce the burden of medical finance and promote the health and benefits of the public. |
本系統中英文摘要資訊取自各篇刊載內容。