摘要
目的分析济南市某县一起丙型病毒性肝炎(以下简称丙肝)暴发疫情的流行病学特征,调查导致该起疫情暴发的原因,了解现场处置情况。方法按照病例的定义开展病例搜索,对该起暴发疫情进行流行病学特征描述;采用病例对照研究的方法,调查引起丙肝疫情暴发的危险因素及感染来源。按照边调查边控制的原则,落实各项防控措施。结果2018年5月1日—12月5日累计发病56例,无重症病例和死亡病例。病例临床表现主要以食欲减退、乏力、黄疸、恶心、肝病面容或肝掌为主,分别占72.92%、72.92%、29.17%、29.17%和12.50%。近期在某诊所就诊是本次丙肝暴发疫情的危险因素(OR=72.8)。结论本次暴发的丙肝疫情是由非法行医门诊混用输液器引起的,传播途径可能是血液传播。建议加强对私人诊所、村卫生室等基层医疗机构的安全注射行为进行监管;健全诊疗记录登记制度和检查制度;加强对基层医疗机构医生进行培训,规范基层医疗机构的医疗行为,以减少此类不良事件的发生。
Objective To analyze the epidemiological characteristics of an outbreak of hepatitis C in a county in Jinan City,investigate the cause of the outbreak,and identify the situation of outbreak control.Methods The case search was conducted according to the case definition.Descriptive epidemiological methods were adopted to describe the epidemiological characteristics of the outbreak.A case-control study was used to investigate the risk factors and sources of infection.The prevention and control measures were implemented in accordance with the principle of investigation and control.Results From May 1 to December 5,2018,there were 56 cases reported,without severe case or death.The clinical manifestations of the cases were mainly loss of appetite,fatigue,jaundice,nausea,hepatic face or liver palms,accounting for 72.92%,72.92%,29.17%,29.17%and 12.50%.The recent visit to the clinic was a risk factor for this outbreak(OR=72.8).Conclusion This hepatitis C outbreak was caused by indiscriminate use of infusion sets in illegal medical clinics.The transmission route may be blood transmission.It is recommended to strengthen the supervision of safe injection behavior in primary medical institutions,such as private clinics and village health stations;improve the registration and inspection system of medical records,strengthen the training of doctors in primary medical institutions,standardize the medical behavior of primary medical institutions,and reduce the occurrence of such adverse events.
作者
常彩云
刘辉
焦海涛
高尚
金燕
杨丽
耿兴义
CHANG Cai-yun;LIU Hui;JIAO Hai-tao;GAO Shang;JIN Yan;YANG Li;GENG Xing-yi(Jinan Center for Disease Control and Prevention,Jinan,Shandong 250021,China)
出处
《中国公共卫生管理》
2022年第1期98-101,共4页
Chinese Journal of Public Health Management
关键词
丙型肝炎
传播途径
现场流行病学调查
Hepatitis C
transmission route
field epidemiological investigation
