頁籤選單縮合
| 題 名 | 2009-2014年臺灣南部某醫院結核病群聚事件=A Pulmonary Tuberculosis Cluster in a Hospital in Southern Taiwan, 2009-2014 |
|---|---|
| 作 者 | 郭柏伸; 林建生; 蔡懷德; 王仁德; 謝瑞煒; 劉碧隆; | 書刊名 | 疫情報導 |
| 卷 期 | 35:21 2019.11.05[民108.11.05] |
| 頁 次 | 頁319-324 |
| 分類號 | 412.42 |
| 關鍵詞 | 結核病; 醫院工作者; 群聚事件; Tuberculosis; Health care worker; Cluster; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 結核病是台灣法定傳染病中,每年確定病例數最多的疾病,醫院工作者是暴露結核病的危險族群。從2009年12月至2014年11月,南部某醫院共8名醫院工作者確診結核病,其中4名個案具有同科室活動史,6名個案菌株為相同型別,研判為結核病群聚。該科室空調通風不良,可能是該群聚事件的主因。後續醫院依相關建議改善感管措施、通風及落實健康監測後,追蹤至2015年12月止,無新增個案。8名確診個案除一名外籍看護返回國外,其餘皆完治,本案結案。根據本案處理過程,建議醫院主動監測院內空氣品質,找出通風不良場所並加以改善,強化醫院工作者接受潛伏結核篩檢及治療意願,降低未來發生呼吸道疾病群聚的風險。 |
| 英文摘要 | In Taiwan, tuberculosis has always been the notifiable disease with the largest number of confirmed cases every year. Tuberculosis infection possesses a great occupational risk to health care workers, and might even cause clusters. From December 2009 to November 2014, a total of 8 confirmed tuberculosis cases had been reported from Hospital A in southern Taiwan. Based on epidemiological investigation, 4 cases had common activity in a certain office space. Bacterial strains from 6 cases shared identical genotype, so a tuberculosis cluster was confirmed. According to the environmental investigation, one of the main factors might be due to poor ventilation. Therefore, the authorities and experts suggested that Hospital A should improve ventilation, infection control and staff health monitoring. This cluster was monitored for one year and no new case was reported by December 2015. Except one foreign worker case went back to home country, 7 other cases had completed treatment courses. The event indicated that hospitals need to actively monitor air quality, improve ventilation and strengthen the health care workers’ willingness on latent tuberculosis infection screening and treatment, in order to decrease the risk for respiratory disease clusters in the future. |
本系統中英文摘要資訊取自各篇刊載內容。