頁籤選單縮合
題 名 | 2020年臺南市某醫院實驗室感染桿菌性痢疾事件調查報告=Investigation on the Laboratory Infection of Bacillary Dysentery of a Hospital, Tainan, 2020 |
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作 者 | 陳奕璇; 林佩宜; 蔡懷德; 林建生; 蔡遠鵬; 陳紫君; 李翠鳳; | 書刊名 | 疫情報導 |
卷 期 | 39:20 2023.10.24[民112.10.24] |
頁 次 | 頁316-321 |
分類號 | 412.4 |
關鍵詞 | 志賀氏桿菌; 桿菌性痢疾; 實驗室感染; 生物安全; 實驗室現場訪查; Shigella; Bacillary dysentery; Laboratory infection; Biosafety; On-site laboratory inspection; |
語 文 | 中文(Chinese) |
DOI | 10.6524/EB.202310_39(20).0001 |
中文摘要 | 2020年12月10日臺南市某醫院通報一名30歲女性感染桿菌性痢疾,糞便培養檢驗證實為志賀氏桿菌血清型Shigella flexneri 2a (sub-group B),確診個案為該醫院檢驗科細菌實驗室醫檢師,其接觸者(共23名)糞便採檢結果皆為陰性。個案潛伏期間,該實驗室曾檢驗出一名桿菌性痢疾男性個案陽性檢體,同為Shigella flexneri 2a,經由PFGE比對為相同基因圖譜,編碼同為SFN09.0219。根據衛生福利部疾病管制署監測,臺灣社區近四年流行型別為S. flexneri 2a編碼SFN09.0219 (72.7%),故無法認定兩案為院內或社區感染關聯,但無法排除為該醫院實驗室感染事件。衛生福利部疾病管制署南區管制中心隨即併同衛生局至該實驗室進行現場查核,並建議院內「實驗室生物安全委員會」應加強單位內人員之生物安全教育訓練及定期清消實驗室之設備環境,以杜絶實驗室可能的感染風險。 |
英文摘要 | On December 10, 2020, a hospital in Tainan reported a 30-year-old female infected with bacillary dysentery. The stool culture test was confirmed as Shigella flexneri 2a (sub-group B). The confirmed case was a medical technologist of the bacterial laboratory in the hospital. The test results of fecal specimens from 23 contacts were all negative. During her incubation period, the laboratory identified another case of bacillary dysentery infected with Shigella flexneri 2a. Both isolates shared the same DNA fingerprint pattern (code: SFN09.0219) by pulse-field gel electrophoresis (PFGE). According to the surveillance data of the Taiwan Centers for Disease Control (TCDC), the prevalent type of S. flexneri 2a code SFN09.0219 in Taiwan was 72.7% in the past four years. These two cases cannot be identified as a hospital or community-acquired infection, however, a laboratory infection was suspected. The South Regional Center of TCDC and the local health bureau immediately conducted an on-site inspection at the laboratory, and recommended that the hospital biosafety committee should strengthen the biosafety education training of the personnel and regularly disinfect the equipment and environment to eliminate the possible risk of infections in the laboratory. |
本系統中英文摘要資訊取自各篇刊載內容。