摘要
目的调查2009-2013年医院感染丙型肝炎暴发流行发生情况及流行病学特征,查找问题所在,并探讨预防策略。方法检索2009-2013年的相关官方媒介信息,进行回顾性调查分析。结果检索发现2009-2013年卫生行政部门等官方媒体通报处理的医院感染丙型肝炎暴发事件12起,共发生436例医院感染丙型肝炎,其中血液透析感染丙型肝炎170例,不安全注射感染丙型肝炎266例;12起医院感染丙型肝炎暴发事件均存在明确的医源性血液暴露,由医疗器械器具消毒、灭菌不当或手卫生不良的直接或间接接触血液传播造成,血液接触传播与医源性传播是感染暴发的主要传播途径。结论丙型肝炎病毒感染具有隐匿性特点,导致医务人员对感染预防控制及易感人群的重视不够,医院感染管理预防控制措施落实不力,二级及以下医院是感染的高发区,须加强监管。
OBJECTIVE To investigate the incidence and epidemiological characteristics of nosocomial infection hep- atitis C from 2009 to 2013, find out the problems, and explore prevention countermeasures. METHODS From 21309 to 2013, the relevant information was retrieved from the official media, and retrospective survey was conducted. RESULTS Totally 12 incidents of nosocomial infection hepatitis C have been discovered by retrieving form the re- ports from the official media such as the health administrative departments, the nosocomial infection hepatitis C occurred in 436 cases, including 170 cases of infection hepatitis C induced by hemodialysis and 266 cases of infec- tion hepatitis C induced by inappropriate injection. All the 12 incidents of nosocomial infection hepatitis C had the definite iatrogenic exposure to blood, the blood-contacting transmission was directly or indirectly caused by the in- appropriate disinfection of medical instruments or the poor hand hygiene~ the blood-contacting transmission and the iatrogenic transmission were the major transmission routes. CONCLUSION The hepatitis C viral infection is oc- cult, which leads to the medial stafft insufficient attention to the control of infection and the population at risk of infections; the prevention measures of nosocomial infections are not strictly implemented. It is necessary to strengthen the supervision of two-A or below hospitals where the nosocomial infections is prevalent.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第10期2503-2504,2507,共3页
Chinese Journal of Nosocomiology
基金
山东省自然科学基金资助项目(ZR2012HM061)
关键词
医院感染
丙型肝炎
暴发流行
Nosocomial infection
Hepatitis C
Outbreak
