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国内首起甲型H1N1流感医院感染暴发调查分析
引用本文:陈建东,袁俊,杨智聪,晁斌,刘于飞,周德谦,李海麟,狄飚,张力,陈泽红,湛柳华,肖晓玲,王鸣.国内首起甲型H1N1流感医院感染暴发调查分析[J].中华医院感染学杂志,2010,20(2).
作者姓名:陈建东  袁俊  杨智聪  晁斌  刘于飞  周德谦  李海麟  狄飚  张力  陈泽红  湛柳华  肖晓玲  王鸣
作者单位:1. 广州市疾病预防控制中心,广东广州,510080
2. 广东省卫生厅广东省现场流行病学培训项目,广东广州,510300
3. 广州市越秀区疾病预防控制中心,广东广州,510080
4. 中山大学附属第一医院小儿外科,广东广州,510080
基金项目:广州市医药卫生科技重大项目 
摘    要:目的总结防控经验为甲型H1N1流感医院感染防控提供参考。方法采用面对面访谈和电话询访方式,调查2009年8月11~18日暴露于小儿外科的住院患者、陪护家属及医务人员;并开展病例对照研究,病例组为暴露于小儿外科且符合病例定义的人员,对照组为暴露于小儿外科且不符合病例定义的人员。结果共发现35例病例,罹患率26.5%,其中12例确诊病例,23例疑似病例,无重病例症;首例病例为一患儿,8月11日入住小儿外科前已有流感样症状;35例病例发病时间为8月7~17日;患儿、陪护、医师及护士罹患率为46.2%、19.6%、26.3%和5.6%,差异有统计学意义(χ2=13.14,P0.01);25份咽拭子标本检出12例甲型H1N1流感病毒核酸阳性,灌肠室暴露、病区长时间暴露、近距离接触是危险因素;暴露时间越长,风险越大。结论院外甲型H1N1流感患儿入住小儿外科病区导致甲型H1N1流感医院感染;患病坚持在岗的医护人员导致病毒传播。

关 键 词:甲型H1N1流感  医院感染  社区感染  暴发流行

Investigation of First Hospital Infection Event of H1N1 Influenza in Mainland
CHEN Jian-dong,YUAN Jun,YANG Zhi-cong,CHAO Bin,LIU Yu-fei,ZHOU De-qian,LI Hai-lin,DI Biao,ZHANG Li,CHEN Ze-hong,ZHAN Liu-hua,XIAO Xiao-ling,WANG Ming.Investigation of First Hospital Infection Event of H1N1 Influenza in Mainland[J].Chinese Journal of Nosocomiology,2010,20(2).
Authors:CHEN Jian-dong  YUAN Jun  YANG Zhi-cong  CHAO Bin  LIU Yu-fei  ZHOU De-qian  LI Hai-lin  DI Biao  ZHANG Li  CHEN Ze-hong  ZHAN Liu-hua  XIAO Xiao-ling  WANG Ming
Institution:CHEN Jian-dong*,YUAN Jun,YANG Zhi-cong,CHAO Bin,LIU Yu-fei,ZHOU De-qian,LI Hai-lin,DI Biao,ZHANG Li,CHEN Ze-hong,ZHAN Liu-hua,XIAO Xiao-ling,WANG Ming(*Guangzhou Center for Disease Control , Prevention,Guangzhou,Guangdong 510080,China)
Abstract:OBJECTIVE To summary the experience and provide reference for control and prevention of H1N1 influenza in hospital.METHODS We investigated by interview and telephone survey and conducted a case-control study.Impatients,family member and medical staff exposed to pediatric surgery ward from Aug 11th to 18th were investigated.Cases who got the H1N1 influenza were included.RESULTS 26.5%(35/132) were included,including 12 confirmed cases and 23 suspected cases.and no severe case.The first case was a child inpati...
Keywords:Novel A(H1N1) influenza  Hospital infection  Community infection  Outbreak
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