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題 名 | 2020年花蓮縣某醫院血液透析中心急性病毒性C型肝炎群聚事件調查=An Outbreak of Hepatitis C Virus Infections in a Hospital Hemodialysis Unit, Taiwan, 2020 |
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作 者 | 黃國豪; 羅宇君; 黃筱蓮; 黃貝琴; | 書刊名 | 疫情報導 |
卷 期 | 39:14 2023.07.25[民112.07.25] |
頁 次 | 頁203-208 |
分類號 | 412.42 |
關鍵詞 | 急性病毒性C型肝炎; 血液透析; 感染管制; Acute hepatitis C; Hemodialysis, ; Infection control; |
語 文 | 中文(Chinese) |
DOI | 10.6524/EB.202307_39(14).0001 |
中文摘要 | 2020年6月花蓮某醫院同時通報2名血液透析個案C肝抗體(Anti-HCV)陽轉個案,疑似急性C肝群聚事件。 衛生單位啟動調查以釐清感染源,發現該機構:1.未落實感染管制措施;2.人員混合照護非肝炎及B、C肝炎病患;3.人員執行透析穿刺時,未落實無菌技術及未著個人防護裝備;4.床單未每班更換;5.C肝與其他病人並未分區,未專用透析機器等缺失。 為避免疫情持續擴大,經疾病管制署東區管制中心與衛生局多次輔導及查核後,該院落實相關感染管制措施、調整床位、無混合照護行為、落實個人防護裝備及手部衛生、病患用物收至個人置物櫃、床單每週定期更換、設置備用機供緊急使用等改善作為,截至2021年6月無新增個案。但仍鼓勵該院朝消除C肝目標邁進,積極轉介個案治療。 |
英文摘要 | In June 2020, a hospital in Hualien reported two cases with positive anti-hepatitis C virus antibody (anti-HCV) among long-term hemodialysis patients, which indicated a suspected cluster infection. The health unit launched an investigation to identify the source of infections and discovered: (1) The hospital failed to implement infection prevention and control measures; (2) staff mixed care of non-hepatitis, hepatitis B and C patients; (3) staff neglected the standard aseptic techniques nor wearing personal protective equipment when performing dialysis procedures; (4) bedsheets and linens were not changed on regulatory shifts; and (5) no separation area for infectious and non-infectious patients, and no backup dialysis machines are available. The Eastern Regional Center of Taiwan Centers for Disease Control and Hualien County Health Bureau recommended correcting the faulty measures and inspected the improvement. The hospital staff followed accordingly to implement relevant infection control measures, adjust beds, avoid mixing care of patients, use personal protective equipment, apply strict hand hygiene at work, keep patient’s belongings in individual lockers when dialysis, change bedsheets and linens regularly and add backup machines for emergency use. As of June 2021, no new cases were identified, and the hospital was encouraged to refer hepatitis C cases for treatment and targeting eliminating hepatitis C. |
本系統中英文摘要資訊取自各篇刊載內容。