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| 題 名 | 2020年南部地區某醫院血液透析室急性C型肝炎院內感染事件=Hepatitis C Virus Transmission in a Hemodialysis Unit, Southern Taiwan, 2020 |
|---|---|
| 作 者 | 陳立宸; 曾伊彤; 洪敏南; 林靜麗; 李玫瑩; 朱美真; 黃偉倫; 徐士敏; 陳沛蓉; 段延昌; 林慧真; 林明誠; | 書刊名 | 疫情報導 |
| 卷 期 | 40:14 2024.07.23[民113.07.23] |
| 頁 次 | 頁213-219 |
| 關鍵詞 | 急性C型肝炎; 透析室; 院內感染; 多劑型藥物; Acute hepatitis C; Dialysis unit; Outbreak; Multidose medicine; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6524/EB.202407_40(14).0002 |
| 中文摘要 | 2020年南部地區某醫院血液透析室通報1例急性C型肝炎病例,與同透析室另1名慢性C型肝炎病人病毒株基因型別相同,續送衛生福利部疾病管制署檢驗進行病毒株基因親緣性比對,結果具高度關聯性,研判為C型肝炎院內透析室感染事件。經感控查核委員訪查,發現血液透析室B、C肝床配置區域及出入口在工作動線上有交集風險、配藥地點未設專區亦未分乾淨區及汙染區,以及多劑型藥物稀釋液未採獨立包裝重複抽藥。後續透過衛生單位及專家介入,與院所感控措施之改善與落實,監測至2021年6月止,無新增個案。本事件顯示醫療機構血液透析落實感染管制措施的重要性。 |
| 英文摘要 | In June 2020, a case of acute hepatitis C was diagnosed at a hemodialysis unit in Southern Taiwan. Nucleic acid sequencing and phylogenetic analysis demonstrated genetic similarity between the viral strains from the case-patient and a patient with chronic hepatitis C who received dialysis at the same unit, suggesting a healthcare-associated infection. An infection control team conducted a field inspection and revealed lapses in infection prevention and control, including use of inappropriate dialysis beds layout with cross-contamination potential, lack of dedicated area for drug dispensing, lack of separation between clean and contaminated working areas, and use of single-package drug diluent for multidose use. After correcting these lapses, no incident acute hepatitis C cases were noted as of July 2021. This event highlighted the importance of compliance with infection control measures in hemodialysis units. |
本系統中英文摘要資訊取自各篇刊載內容。